Experienced Customer Service Representative – Remote Full-Time Position with Comprehensive Benefits and Career Growth Opportunities

Introduction to blithequark At blithequark, we are passionate about delivering exceptional customer service and making a meaningful difference in the lives of individuals across the country. As a rapidly growing national quality improvement and care management organization, we are dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. Our mission-driven approach focuses on improving lives through healthcare quality and clinical expertise, and we achieve this through our talented and compassionate team members. About the Role We are seeking an experienced Customer Service Representative to join our team in a fully remote position, offering the flexibility to work from home and enjoy a great work-life balance. As a key member of our Review Team, you will provide top-notch customer service support, interacting with beneficiaries and providers via our helpline, creating and proofreading letters, and maintaining timely responses. Your exceptional decision-making skills will be essential in handling complex appeals and ensuring that our customers receive the best possible support. Key Responsibilities Provide exceptional customer service to beneficiaries and providers via phone, email, and mail, responding to inquiries and resolving issues in a professional and courteous manner. Create, format, and proofread letters and other correspondence, ensuring accuracy, clarity, and timeliness. Maintain effective working relationships with internal and external customers, fostering a collaborative and supportive environment. Assist in identifying areas for potential improvement, participating in case reviews and process evaluations to drive continuous quality improvement. Answer the Beneficiary Helpline, utilizing our hunt group and available light functions to determine the best course of action for each caller. Validate notices and medical records, ensuring accuracy and completeness. Provide intake for all appeals received, ensuring timely and efficient processing. Utilize internal quality control tools to assess individual work and team processes, driving continuous improvement and excellence. Essential Qualifications To succeed in this role, you will need: A high school diploma or equivalent, with post-high school business courses being helpful. Medical terminology knowledge is desirable, but not essential. Excellent verbal communication skills, with a courteous and patient demeanor, and the ability to maintain composure under potentially stressful situations. Good grammar, punctuation, spelling, hyphenation, and written communication skills. Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers. General knowledge of a PC-based computer system, with the ability to learn additional software packages as needed. Ability to multi-task, prioritize assignments, and work independently with good organizational skills. Preferred Qualifications While not essential, the following qualifications are highly desirable: Two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities. Prior work in a healthcare setting or medical terminology is recommended, with previous data entry or other clerical experience being a plus. Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our team members. As a Customer Service Representative, you will have access to: Comprehensive training and support to ensure your success in the role. Ongoing professional development opportunities, including workshops, webinars, and conferences. Career advancement opportunities, with a clear path for progression within the company. A collaborative and supportive work environment, with a focus on teamwork and mutual respect. Work Environment and Company Culture At blithequark, we pride ourselves on our positive and inclusive company culture. As a remote team member, you will be part of a dynamic and supportive community, with regular virtual meetings and team-building activities. Our company culture is built on the following values: People-focused: We care deeply about our employees and are committed to their well-being and success. Mission-driven: We are passionate about improving lives through healthcare quality and clinical expertise. Collaborative: We work together as a team to achieve our goals and drive continuous improvement. Compensation, Perks, and Benefits As a blithequark team member, you will enjoy a comprehensive rewards package, including: Competitive salary and benefits package, with full benefits (medical, dental, vision, etc.) effective from the first month of employment. Paid time off for a great work-life balance, with generous vacation and sick leave allowances. 401(k) with match and no vesting period, to support your long-term financial goals. Opportunities for career advancement and professional growth, with a clear path for progression within the company. Conclusion If you are a motivated and customer-focused individual, with a passion for delivering exceptional service and making a meaningful difference in the lives of others, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at blithequark, you will be part of a dynamic and supportive team, with access to comprehensive training, career growth opportunities, and a competitive rewards package. Don't miss out on this chance to join our mission-driven organization and shape the future of healthcare with us. Apply today and take the first step towards a rewarding and challenging career with blithequark! Apply for this job