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

At blithequark, we're passionate about empowering better health outcomes through innovative technology, services, and clinical expertise. Our mission is to deliver maximum value and impact in the healthcare industry, and we're looking for talented individuals to join our team of passionate professionals. As a Customer Service Representative at blithequark, you'll play a vital role in providing exceptional customer experiences, resolving inquiries, and ensuring seamless interactions with our external partners. If you're a motivated and empathetic individual with a passion for delivering outstanding customer service, we encourage you to apply for this exciting opportunity. **About blithequark** blithequark is a leading healthcare solutions provider dedicated to redefining expectations in the industry. Our team of experienced leaders, clinicians, technologists, and industry professionals come together to drive innovation and improve health outcomes nationwide. We're committed to creating a work environment that fosters growth, collaboration, and mutual respect. **Job Summary** As a Customer Service Representative, you'll be responsible for answering incoming telephone calls, resolving customer questions, complaints, and requests while adhering to internal policies and procedures. You'll utilize your working knowledge of our services to meet productivity and quality standards, ensuring that our customers receive exceptional service and support. **Key Responsibilities** * Develop and maintain a working knowledge of internal policies, procedures, and services (both departmental and operational) * 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 such as 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?** * Meaningful work that genuinely improves people's lives nationwide * Opportunities for career growth and professional development * Collaborative and supportive work environment * Comprehensive benefits package, including health plans, paid time off, retirement savings, and more * Competitive compensation, with a pay range of $15.48-$17.20 an hour **What We Offer** At blithequark, we're committed to creating a work environment that fosters growth, collaboration, and mutual respect. Our benefits package is designed to provide additional protection, security, and support for both your career and your life away from work. Some of the benefits we offer include: * Comprehensive health plans * Paid time off * Retirement savings * Corporate wellness * Educational assistance * Corporate discounts * And more! **How to Apply** If you're a motivated and empathetic individual with a passion for delivering outstanding customer service, we encourage you to apply for this exciting opportunity. Please visit our website at blithequark.com/careers to submit your application. We're an equal opportunity employer and welcome applications from diverse candidates. **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. **Contact Us** If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us. We look forward to hearing from you! Apply Job! Apply for this job