Experienced Customer Service Representative - Remote Opportunity with blithequark

Join blithequark and Make a Difference in Healthcare At blithequark, we're driven by a singular, clear purpose: to bring our heart to every moment of your health. Our mission is to deliver enhanced, human-driven healthcare in a rapidly changing world. With heart at its center, our motivation sends a personal message that how we deliver our services is just as important as what we deliver. As a Customer Service Representative at blithequark, you'll be the face of our organization, influencing the member experience through your interactions and ensuring that our members receive the care and support they need. About the Role We're seeking an experienced Customer Service Representative to join our team on a full-time basis. As a Customer Service Representative, you'll be responsible for handling customer inquiries and resolving issues via phone, web, or written correspondence. You'll engage with, counsel, and educate members based on their unique needs, preferences, and understanding of blithequark plans, tools, and resources. This is a 24/7 customer support inbound call operation, and we're looking for candidates who can work any shift, including weekends and holidays. Key Responsibilities: Respond to questions and resolve issues based on calls/letters from members, providers, and plan sponsors. Escalate emergencies to the appropriate staff and track contacts with members, providers, and plan sponsors. Guide members through their plan benefits, blithequark policies, and procedures, as well as stay knowledgeable about resources to conform to regulatory guidelines. Create a personal connection with our members by understanding and engaging them to support their best health. Anticipate member needs and provide related information to address unasked questions. Utilize customer service skills to make financial decisions to resolve member issues. Explain member limitations according to contract and process claim references, new case handoffs, and other tasks. Educate providers on our self-service options and help with credentialing and re-credentialing issues. Handle broad document audit demands and aid in the preparation of complaint pattern reports. Determine clinical needs, relevant coverage policies, and check member plan eligibility. Perform review of member claim history to ensure accurate tracking of benefit maximums and coinsurance/deductible. Perform financial data support as needed and utilize relevant system tools and resources to generate quality letters and calculation sheets. Essential Qualifications To succeed in this role, you'll need: A Bachelor's degree Customer service experience in a transactional environment, such as a call center or retail store Ability to multitask to efficiently achieve responsibilities Understanding of medical terminology Capable oral and written communication skills Proficient with Microsoft Word and Outlook Ability to maintain accuracy and production standards Negotiation skills Technical skills Problem-solving skills Attention to detail and accuracy What We Offer At blithequark, we're committed to taking care of our employees and our communities. We offer a full range of medical, dental, and vision benefits, as well as a 401(k) retirement savings plan and an Employee Stock Purchase Plan. You'll also have access to various wellness programs, education assistance, and free improvement courses. Our employees enjoy Paid Time Off (PTO) or holiday pay, as well as paid holidays throughout the calendar year. Compensation The salary range for this position is $30-$41 per hour, depending on experience, education, geography, and other relevant factors. Career Growth Opportunities At blithequark, we're committed to helping our employees grow and develop in their careers. As a Customer Service Representative, you'll have opportunities to learn and develop new skills, take on new challenges, and advance in your career. Work Environment and Company Culture We're a dynamic and supportive team that values collaboration, innovation, and customer satisfaction. Our company culture is centered around our Heart At Work Behaviors, which guide our interactions with members, colleagues, and the community. Preparing for the Interview To help you prepare for the interview, we've put together some common questions and tips: Be ready to talk about your experience and skills relevant to the position. Highlight your strengths and provide examples of times when you demonstrated them. Be honest about your weaknesses and explain how you're working to improve them. Show your knowledge of blithequark and our mission. Be prepared to ask questions about the company culture, growth opportunities, and specific job responsibilities. Conclusion If you're a motivated and compassionate customer service professional looking for a new challenge, we encourage you to apply for this exciting opportunity with blithequark. Join our team and make a difference in the lives of our members. Apply now to start your journey! Apply Job! Apply for this job