**Experienced Customer Service Representative – Remote Opportunity to Revolutionize Healthcare**

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 team of dedicated professionals at blithequark, a pioneering force in the healthcare industry. At blithequark, we're committed to empowering better health outcomes through innovative technology, services, and clinical expertise. Our mission is to revolutionize the way healthcare is delivered, and we're looking for talented individuals like you to help us achieve our vision. As a Customer Service Representative at blithequark, you'll play a vital role in providing exceptional customer experiences, resolving complex issues, and driving business growth. You'll have the opportunity to work with a diverse range of stakeholders, including healthcare professionals, patients, and insurance providers. **Job Summary:** We're seeking an experienced Customer Service Representative to join our growing team of passionate professionals. As a key member of our customer service team, you'll be responsible for providing timely, accurate, and courteous responses to customer inquiries, resolving complex issues, and driving business growth. **Key Responsibilities:** * Develop and maintain a working knowledge of internal policies, procedures, and services to meet productivity and quality standards * Utilize automated systems to log and retrieve information, perform accurate and timely data entry of electronic faxes * Receive inquiries by telephone, email, fax, or mail and communicate responses within required turnaround times * Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures * Interact with external partners, including hospitals, physicians, beneficiaries, or other program recipients * Perform verification of healthcare services to facilitate payment for received services * Identify medical claims meeting CPT/DRG audit criteria and submit the necessary billing data and healthcare records to the third-party auditor * Serve as a liaison between internal and external partners * Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party * Meet or exceed standards for call volume and service level per department guidelines * Initiate cases by collecting and entering demographic, provider, and procedure information into the system * May be responsible for the completion of daily, monthly, and quarterly reports necessary for clinical team operations and client reporting **Requirements:** * High School diploma or equivalent * Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications * Effective verbal and listening skills to provide courteous and professional customer service **Preferred Qualifications:** * Knowledge of the health insurance industry * Experience working in a healthcare setting * Medical terminology knowledge is preferred * Bilingual (Spanish/English) skills are a plus * Minimum of two years of customer service experience **Why Join blithequark?** We're a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as a vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You'll have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement you need to achieve the finest work of your career. **Benefits and Compensation:** Our benefits are designed to provide additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. The pay range for this position is $15.48-$17.20 an hour. Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level. **What We Offer:** * A dynamic and supportive work environment * Opportunities for career growth and professional development * Comprehensive benefits package * Competitive compensation and bonuses * Recognition and rewards for outstanding performance * A chance to make a meaningful impact in the lives of others **How to Apply:** If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others, we invite you to apply for this exciting opportunity. Please submit your application through our website at blithequark.com/careers. **Equal Opportunity Employer:** blithequark is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. Thank you for considering this opportunity to join our team at blithequark. We look forward to reviewing your application! Apply for this job