**Experienced Customer Service Representative – Remote Opportunity at blithequark**

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you thrive in a dynamic, fast-paced environment where no two days are ever the same? If so, we invite you to join our growing team of Customer Service Professionals (CSPs) at blithequark, a leading healthcare organization dedicated to advancing the art and science of healthcare. As a Customer Service Representative at blithequark, you will be the primary point of contact for our members, providers, and other key stakeholders, focusing on exceptional customer satisfaction and first call resolution. You will interact with customers to provide information, troubleshoot complex issues, and handle and resolve complaints, all while delivering a world-class experience that exceeds their expectations. **About blithequark** blithequark is a not-for-profit organization that relies on a wide range of professionals to advance our mission of providing exceptional care, research, teaching, and community service. We believe that high-performing teams drive groundbreaking medical discoveries, and we invite all applicants to join us and experience what it means to be part of a dynamic, innovative organization. **The Opportunity** As a Customer Service Representative at blithequark, you will have the opportunity to: * Serve as the primary liaison for members and providers for all lines of business, including MassHealth and Commercial members * Handle and demonstrate skills in handling benefits, claims, and eligibility calls for the member and provider population * Identify customer issues/concerns rapidly and precisely, and research required information using available resources * Handle and resolve customer inquiries and complaints, exhausting all efforts within your scope before requesting assistance * Identify and escalate priority issues in order to create efficiencies * Initiate follow-up customer calls where necessary * Complete call logs to record customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken * Refer customer grievances and appeals to designated departments for further investigation * Act as the primary representative for blithequark for our customers, focusing on first call resolution and customer engagement * Anticipate and meet, or exceed, internal and/or external customer expectations and requirements; establish and maintain effective relationships with customers and gain their trust and respect **Qualifications** To be successful in this role, you will need to possess: * Exceptional customer service skills and exceptional communication abilities * High School Diploma or Equivalent required; Associate's Degree in Healthcare Management preferred * Ability to work in a fast-paced, dynamic environment with multiple priorities and deadlines * Strong problem-solving and critical thinking skills * Ability to work independently and as part of a team * Strong communication and interpersonal skills * Ability to maintain confidentiality and handle sensitive information * Ability to work in a remote environment with minimal supervision **Skills and Competencies** To excel in this role, you will need to demonstrate the following skills and competencies: * Flexibility/Adaptability/Willingness/Team Player/Positive Attitude * Relationship Building/Caring * Service Excellence/Accountability/Critical Thinking * Ability to navigate multiple systems to resolve customer issues * Strong analytical and problem-solving skills * Ability to work in a data-driven environment and make informed decisions based on data analysis * Strong communication and interpersonal skills * Ability to maintain confidentiality and handle sensitive information **Work Environment and Culture** As a remote employee at blithequark, you will have the flexibility to work from the comfort of your own home, with a quiet, secure, stable, HIPPA-compliant workstation. You will be part of a growing remote team that stays connected weekly and daily through video meetings. Our team is collaborative, supportive, and committed to delivering exceptional customer experiences. **Compensation and Benefits** We offer a comprehensive benefits package, including: * Competitive hourly rate: $19.42 - $27.74 per hour * Comprehensive benefits package, including medical, dental, and vision insurance * 401(k) retirement plan with company match * Paid time off and holidays * Opportunities for career advancement and professional growth * Recognition programs designed to celebrate your contributions and support your professional growth **EEO Statement** blithequark is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. **How to Apply** If you are a motivated and customer-focused individual who is passionate about delivering exceptional customer experiences, we invite you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter that outlines your qualifications and experience. **Contact Information** For more information about this opportunity, please contact our Talent Acquisition team at (857)-282-7642. **Competency Framework** At blithequark, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. We look forward to hearing from you and exploring how you can contribute to our mission of delivering exceptional customer experiences at blithequark. Apply for this job