**Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits Package**

Are you a customer service professional looking for a new challenge where you can make a meaningful impact in the lives of individuals across the country? Do you value working in a dynamic and mission-driven organization that prioritizes employee growth and well-being? If so, we invite you to join the team at blithequark, a rapidly growing national quality improvement and care management organization dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. **About blithequark** At blithequark, we are passionate about improving lives through healthcare quality and clinical expertise. Our people-focused and mission-driven approach has earned us a reputation as a leader in the industry. We believe that our employees are the backbone of our organization, and we provide the training, support, and resources necessary for them to excel in their roles. Our comprehensive benefits package is designed to provide you and your family with additional protection, security, and support for both your career and your life away from work. **Perks of this Role** As a Customer Service Representative at blithequark, you will enjoy the following benefits: * **Fully remote position**: Work from the comfort of your own home, with rotational shifts available for EST, CT, or PST. * **Full benefits**: Enjoy comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more, effective the first month following your hire date. * **Paid time off**: Enjoy a great work-life balance with paid time off for relaxation and rejuvenation. * **401k with match**: Contribute to your retirement savings with a 401k plan that includes a company match, with no vesting period. * **Career growth opportunities**: Join a rapidly growing organization with a strong focus on employee development and advancement. **Responsibilities** As a Customer Service Representative at blithequark, you will be responsible for: * **Providing customer service support**: Interact with beneficiaries and providers via the helpline, creating, formatting, and proofreading letters, and maintaining timeliness. * **Decision making**: Make decisions regarding complex appeals, utilizing internal quality control tools to assess individual work and team processes. * **Communication**: Communicate verbally and in writing with external customers to furnish and request review information, fostering effective working relationships between blithequark's internal and external customers. * **Data entry**: Enter referral information into the CMS system, ensuring accuracy and timeliness. * **Quality control**: Utilize internal quality control tools to assess individual work and team processes, identifying areas for potential improvement. * **Team collaboration**: Participate in Review Team meetings, assisting with and identifying areas for potential improvement. **Qualifications** To be successful in this role, you will need: * **High school diploma or equivalent**: A high school diploma or equivalent is required, with post-high school business courses a plus. * **Medical terminology**: Medical terminology is desired, but not required. * **Excellent verbal communication skills**: You must be courteous, patient, and customer-oriented, with the ability to maintain composure under potentially stressful situations. * **Good grammar, punctuation, spelling, hyphenation, and written communications skills**: You must be able to communicate effectively in writing, with attention to detail and accuracy. * **Customer-focused and results-oriented**: You must be able to build and maintain relationships with internal and external customers, with a focus on delivering exceptional results. * **General knowledge of a PC-based computer system**: You should have a basic understanding of computer systems and software, with the ability to learn additional software packages as needed. * **Multi-tasking and prioritization**: You must be able to prioritize assignments and manage multiple tasks simultaneously, with a focus on meeting deadlines and delivering high-quality results. **Experience** We are seeking a candidate with: * **Two to three years of clerical experience**: You should have a minimum of two to three years of experience in a clerical role, including word processing, various filing systems, and telephone customer service responsibilities. * **Prior work in a healthcare setting or medical terminology**: While not required, prior work in a healthcare setting or medical terminology is a plus. * **Data entry or other clerical experience**: Previous data entry or other clerical experience is also a plus. **Mental and Physical Requirements** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state. **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, or status as a protected veteran. **How to Apply** If you are a motivated and customer-focused individual looking for a new challenge, we invite you to apply for this exciting opportunity. Please submit your application through our website, and we will review your qualifications and experience. We look forward to hearing from you! Apply Job! Apply for this job