Experienced Full Time Remote Contact Center Agent - Customer Service Representative for Dynamic Healthcare Team at blithequark

Introduction to blithequark and the Industry At blithequark, we are driven by a purpose to deliver exceptional customer experiences and make a meaningful impact in the lives of our members and providers. As a leader in the healthcare industry, we believe in the importance of flexibility, diversity, and inclusivity. Our team is dedicated to providing top-notch assistance, addressing a wide range of inquiries, and resolving issues with empathy and professionalism. If you are passionate about making a difference and are looking for a challenging and rewarding role, we invite you to join our dynamic team as a Contact Center Agent - Customer Service Representative. Job Overview As a Contact Center Agent - Customer Service Representative at blithequark, you will be the frontline of our operations, ensuring member satisfaction through effective communication, problem resolution, and client education. This role is pivotal in providing exceptional assistance to our members and providers, addressing inquiries related to insurance, applications, and claims across various product lines such as Medicare and Medicaid. Your role will also include retention of membership, handling dis-enrollments, and escalating issues that require further intervention. Key Responsibilities Interact with providers and members via phone to provide information in response to inquiries, concerns, and questions about insurance coverage and products offered by blithequark. Transfer calls from members and providers to the appropriate department, ensuring seamless communication and resolution. Follow up on inquiries and complaints that have not been resolved, demonstrating a commitment to customer satisfaction and issue resolution. Perform research on billing inquiries and claims to provide payments and refunds, utilizing computer systems and automated information systems to analyze the caller's situation. Act as a liaison between various departments to address concerns, collaborating with internal stakeholders to resolve issues efficiently. Identify, research, and resolve customer issues using computer systems, demonstrating problem-solving skills and attention to detail. Follow up on customer inquiries not immediately resolved, ensuring timely and effective communication. Research member/provider billing and claims issues, as well as payment and refund issues, to provide accurate and helpful information. Handle and resolve customer complaints in a professional and empathetic manner, maintaining a positive and customer-focused attitude. Navigate through automated information systems to analyze the caller's situation, utilizing technical skills and knowledge to provide effective support. Demonstrate the ability to perform in a fast-paced, changing environment, adapting to new situations and priorities with ease. Speak in a way that customers can understand, communicating complex information in a clear and concise manner. Serve as a liaison between the customer and various departments, facilitating communication and collaboration to resolve issues. Perform other duties as assigned by the management team related to job functions, demonstrating flexibility and a willingness to learn. Essential Qualifications To be successful in this role, you will need: A High School Diploma or GED, demonstrating a foundation in education and a commitment to learning. Work experience in a face-to-face or call center environment, preferably in the healthcare industry, with a focus on customer service and issue resolution. Experience multitasking between programs and completing required data entry of client demographics or client look-up systems while talking to blithequark customers, demonstrating technical skills and attention to detail. Work experience using a corporate email system, with a strong understanding of digital communication and collaboration tools. Experience navigating through system applications on a desktop computer or laptop, with a willingness to learn and adapt to new technologies. Adaptability to a fast-paced and ever-changing environment, with a focus on flexibility and resilience. Flexibility to work evening and weekends due to business needs, demonstrating a commitment to customer satisfaction and team support. Preferred Qualifications While not required, the following qualifications are highly preferred: Ability to proficiently read, write, and speak English and either Russian, Mandarin, Cantonese, or Spanish, demonstrating language proficiency and cultural competence. Healthcare industry work experience, with a strong understanding of healthcare products and services, as well as regulatory requirements and industry trends. Call Center experience in a metrics-driven environment, with a focus on performance metrics and customer satisfaction. Previous healthcare work experience interacting with members and/or providers, demonstrating a commitment to customer service and issue resolution in a healthcare context. Skills and Competencies To excel in this role, you will need to demonstrate the following skills and competencies: Excellent communication and interpersonal skills, with a focus on customer service and issue resolution. Strong problem-solving and analytical skills, with a ability to navigate complex systems and resolve issues efficiently. Ability to work in a fast-paced, changing environment, with a focus on adaptability and resilience. Strong technical skills, with a ability to navigate automated information systems and utilize digital communication and collaboration tools. Commitment to customer satisfaction and issue resolution, with a focus on empathy, professionalism, and timely communication. Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our employees. As a Contact Center Agent - Customer Service Representative, you will have opportunities to develop your skills and knowledge, with a focus on career advancement and professional growth. You will undergo a 6-week paid virtual training program, which is classroom-based and scheduled between 9:30 am to 5:30 pm EST, Monday through Friday, depending on the required shift. Post-training, your work schedule will require availability for any shift between 8 am to 8 pm EST, including weekends and holidays as needed, to meet our business demands. Work Environment and Company Culture At blithequark, we pride ourselves on our dynamic and inclusive work environment. Our team is dedicated to providing exceptional customer experiences, and we are committed to creating a positive and supportive work culture. We believe in flexibility, diversity, and inclusivity, and we are passionate about making a difference in the lives of our members and providers. Compensation, Perks, and Benefits At blithequark, we offer a competitive compensation package, with a salary range of $34,091 - $52,000, depending on location and experience. We also offer a range of benefits, including medical, dental, and vision coverage, incentive and recognition programs, life insurance, and 401k contributions. Additionally, you will be eligible for overtime and quarterly bonuses, averaging $1,100 every three months. Conclusion If you are passionate about making a difference and are looking for a challenging and rewarding role, we invite you to join our dynamic team at blithequark as a Contact Center Agent - Customer Service Representative. With a focus on customer satisfaction, issue resolution, and career growth, we believe that this role offers a unique opportunity for professional development and personal growth. Don't hesitate to apply - we look forward to the possibility of you joining our team and contributing to our mission of providing quality healthcare services. Apply for this job