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

Introduction to blithequark and the Role Are you a dedicated and passionate customer service professional seeking a new challenge that allows you to make a meaningful difference in people's lives? Do you thrive in environments where no two days are the same, and you have the opportunity to grow both personally and professionally? If so, blithequark, a rapidly growing national quality improvement and care management organization, is looking for an experienced Customer Service Representative to join our team. As a Customer Service Representative at blithequark, you will play a vital role in providing exceptional support to our customers, fostering strong relationships, and contributing to the improvement of healthcare quality and clinical expertise across the country. Perks of This Role This remote position offers a unique blend of flexibility, challenge, and reward. Some of the key benefits include: Fully remote work arrangement, allowing you to work from the comfort of your own home with rotational shifts available for EST, CT, or PST time zones. Comprehensive benefits package, including medical, dental, vision, and more, effective from the first month following your hire date. Paid time off to ensure a great work-life balance, because we believe that taking care of yourself is essential to performing at your best. 401k with match and no vesting period, helping you plan for your future and secure your financial well-being. Opportunities for career advancement within a national company, where your skills and experience can take you to new heights. About blithequark At blithequark, we are mission-driven to improve lives through healthcare quality and clinical expertise. We believe that everyone deserves the right care, at the right time, in the right setting. With a focus on people and a commitment to our mission, we strive to make a real difference in the lives of over 20 million individuals across the country. Our organization is built on the principles of being people-focused and mission-driven, and we are looking for like-minded individuals to join our team. Key Responsibilities As a Customer Service Representative at blithequark, your key responsibilities will include: Providing all customer service support for the Review Team, including interacting with beneficiaries and providers via the helpline, creating, formatting, and proofreading letters, and maintaining timeliness. Making decisions regarding complex appeals, utilizing your excellent judgment and customer service skills to resolve issues efficiently and effectively. Communicating verbally and in writing with external customers to furnish and request review information, ensuring clarity and professionalism in all interactions. Fostering effective working relationships between blithequark's internal and external customers, promoting a collaborative and supportive environment. Participating in the identification of areas for potential improvement within the Review Team, contributing to the continuous enhancement of our processes and services. Answering the Beneficiary Helpline, determining the best course of action to assist callers, and referring them to external agencies as necessary, while ensuring accurate and timely entry of referrals into the CMS system. Ensuring all letters are sent out in a timely manner with correct components included and reviewed for grammatical and spacing errors, maintaining high standards of quality and attention to detail. Obtaining and validating notices and all components of medical records, and providing intake for all appeals received by blithequark, with a focus on efficiency and accuracy. Essential and Preferred Qualifications To be successful in this role, you will need: A high school diploma or equivalent, with post-high school business courses being helpful. Medical terminology knowledge is desired, but not required, as we provide training and support for professional development. Excellent verbal communication skills, a courteous and patient demeanor, and the ability to maintain composure under potentially stressful situations, ensuring that our customers receive the best possible service. Good grammar, punctuation, spelling, hyphenation, and written communication skills, with the ability to express complex ideas clearly and concisely. A customer-focused, results-oriented approach, with the capability to build and maintain relationships with internal and external customers, and support team decisions. General knowledge of a PC-based computer system is desirable, with the ability to learn additional software packages as needed, demonstrating adaptability and a willingness to learn. The ability to multi-task, prioritize assignments, and work independently, with good organizational skills and a flexible approach to your work. Preferred qualifications include two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities, with prior work in a healthcare setting or medical terminology being a plus. Skills and Competencies To excel in this role, you will need to possess a range of skills and competencies, including: Strong customer service skills, with the ability to empathize with customers and provide personalized support. Excellent communication and interpersonal skills, with the ability to work effectively with internal and external stakeholders. Strong problem-solving and decision-making skills, with the ability to analyze complex issues and develop effective solutions. Ability to work in a fast-paced environment, prioritizing tasks and managing multiple responsibilities with ease. Strong organizational and time management skills, with the ability to meet deadlines and maintain high standards of quality. Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to a range of training and development opportunities, including: Comprehensive onboarding program, designed to equip you with the skills and knowledge needed to succeed in your role. Ongoing training and development opportunities, including workshops, webinars, and conferences, to help you stay up-to-date with the latest industry trends and best practices. Mentorship program, pairing you with experienced colleagues who can provide guidance, support, and valuable insights. Opportunities for career advancement, with a clear path for progression and development within the company. Work Environment and Company Culture At blithequark, we pride ourselves on our positive and supportive work environment, where everyone feels valued, respected, and empowered to contribute. Our company culture is built on the principles of: People-focused approach, prioritizing the well-being and success of our employees. Mission-driven mindset, with a shared commitment to improving lives through healthcare quality and clinical expertise. Collaborative and inclusive environment, where everyone has the opportunity to contribute and make a difference. Emphasis on work-life balance, with flexible working arrangements and a range of benefits to support your overall well-being. Compensation, Perks, and Benefits As a Customer Service Representative at blithequark, you will be rewarded with a competitive salary and a range of benefits, including: Comprehensive benefits package, including medical, dental, vision, and more. Paid time off and holidays, to ensure you have the time and space to relax and recharge. 401k with match and no vesting period, to help you plan for your future and secure your financial well-being. Opportunities for career advancement and professional development, with a clear path for progression and growth within the company. Flexible working arrangements, including remote work options and flexible hours, to support your work-life balance and overall well-being. Conclusion If you are a motivated and customer-focused individual, looking for a challenging and rewarding role that makes a real difference in people's lives, we encourage you to apply for the Customer Service Representative position at blithequark. With our comprehensive benefits package, opportunities for career growth and development, and positive and supportive work environment, we believe that blithequark is the ideal place to build your career and achieve your goals. Don't miss this opportunity to join our team and contribute to the improvement of healthcare quality and clinical expertise across the country. Apply now and take the first step towards a fulfilling and rewarding career with blithequark. Apply for this job