Experienced Customer Service Representative for Remote Prior Authorization and Health Coverage Review

Welcome to blithequark: A Leader in Health Services At blithequark, we are dedicated to helping people improve their health and vitality. As a global health service company, we understand the importance of compassionate and empathetic customer service. Our team is committed to making a positive impact on people's lives, especially during critical moments. We are now seeking dedicated, passionate, and customer-focused individuals to join our team as Customer Service Representatives. If you are genuinely interested in helping others and have a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Job Overview: Customer Service Representative - Remote In this role, you will be working in our Coverage Review Department call center, specializing in prior authorizations. Prior authorization is a crucial process that determines whether a prescribed procedure, service, or medication is covered by a member's current health plan. As a Customer Service Representative, you will be the face of blithequark, making a significant difference in our success. Your primary responsibility will be to receive inbound calls from doctor's offices or pharmacies, requesting coverage for specific medications or services. Key Responsibilities: Receive and respond to inbound calls from healthcare professionals, providing exceptional customer service and support Conduct initial screenings of prior authorization requests using online tools and guidelines, approving or referring requests to a pharmacist for clinical review as needed Manage a high volume of calls, with an average of 10-30 calls per day, and adapt to busy seasons with increased call volumes Utilize multiple systems (up to 5) to complete tasks, with comprehensive training provided to ensure proficiency Attend all scheduled trainings, including the initial 90-day training period, to ensure a solid understanding of our processes and systems Enjoy the flexibility of working from home, with virtual connections to coworkers and customers, while maintaining a dedicated workspace with minimal distractions Qualifications and Requirements To be successful in this role, you should possess: A High School diploma or equivalent 1-5 years of experience in call center and customer service environments Competent computer skills, including Microsoft Office and Windows operating system Strong organization, written, and verbal communication skills Ability to remain calm and composed in challenging situations, providing empathetic and helpful support to customers Excellent interpersonal communication, attention to detail, and critical thinking skills Flexibility to work various schedules, including evenings and overtime, as determined by business needs A dedicated workspace with reliable internet connectivity and minimal distractions Essential Skills and Competencies: Strong customer service and communication skills Ability to work in a fast-paced environment, managing multiple tasks and priorities Proficiency in using technology, including computer systems and software applications Strong problem-solving and critical thinking skills, with attention to detail and accuracy Ability to work independently and as part of a team, with a strong focus on collaboration and support Career Growth and Development Opportunities At blithequark, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to comprehensive training programs, ongoing coaching and feedback, and opportunities for career advancement. Our goal is to help you succeed and grow in your role, while making a positive impact on the lives of our customers. Work Environment and Company Culture blithequark is a dynamic and supportive work environment, with a strong focus on teamwork, collaboration, and customer satisfaction. We value diversity, equity, and inclusion, and are committed to creating a workplace where everyone feels welcome and valued. As a remote employee, you will be part of a virtual team, with opportunities to connect with coworkers and customers through digital channels. Compensation, Perks, and Benefits At blithequark, we offer a competitive compensation package, including a comprehensive benefits program, paid time off, and opportunities for professional growth and development. Our goal is to provide a rewarding and supportive work environment, with a focus on employee well-being and satisfaction. Conclusion: If you are a motivated and customer-focused individual, with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at blithequark, you will be part of a dynamic team, making a positive impact on the lives of our customers. Don't miss this chance to join our team and start your career with a leader in the health services industry. Apply now and take the first step towards a rewarding and challenging career with blithequark. Apply for this job