Experienced Medicare Outreach Customer Service Representative for Dynamic Healthcare Organization - Full-time Remote Opportunity in Michigan

Introduction to blithequark At blithequark, we are driven by a mission to empower individuals to live healthier, more fulfilling lives. As a leading healthcare organization, we recognize the importance of fostering a culture of high performance, inclusivity, and dynamic collaboration. Our subsidiaries, blithequark Health Plan and blithequark, Inc., are dedicated to delivering exceptional service to our members, while promoting healthy lifestyles and community engagement. We invite you to join our team as a Medicare Outreach Customer Service Representative, where you will play a vital role in driving our organization forward and making a positive impact on the lives of our members. About the Role As a Medicare Outreach Customer Service Representative at blithequark, you will be responsible for delivering high-quality service, strategizing, and improving outcomes with a focus on primary care. Your expertise will be instrumental in educating and networking with individuals from diverse backgrounds and cultures about our products and programs, with the goal of attracting and retaining membership in our Plan. You will establish and maintain relationships that promote healthy lifestyles among our membership, while tracking and trending HEDIS or Medicare Stars rates. This position will support our Customer Service department's Medicare Stars Program, and as a fully remote role, you will have the flexibility to work from anywhere in Michigan. We are committed to fostering an open, cooperative, and dynamic environment that values the talents and abilities of all our employees, and we encourage you to apply if you are passionate about delivering exceptional customer service and making a difference in the lives of our members. Key Responsibilities Deliver high-quality customer service to our members, providers, and outside agencies, with a focus on primary care and promoting healthy lifestyles Develop and implement strategies to attract and retain membership in our Plan, through education and networking with individuals from diverse backgrounds and cultures Establish and maintain relationships with members, providers, and outside agencies to promote our Plan and services Track and trend HEDIS or Medicare Stars rates, and identify opportunities for improvement Foster our Plan's presence in the community by interacting with members, providers, and outside agencies, and promoting our services and programs Collaborate with our Customer Service department to support the Medicare Stars Program and drive positive outcomes Qualifications To be successful in this role, you will need to possess the following qualifications: Required: High School Diploma or equivalent educational certification Two (2) years' experience in a customer service-related position Preferred: Associate Degree in health care administration, communication, marketing, or related field One year of experience in a community-focused outreach position NCQA experience specific to HEDIS measurement In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc. Skills and Competencies To excel in this role, you will need to possess excellent communication and interpersonal skills, with the ability to work effectively with individuals from diverse backgrounds and cultures. You will also need to be highly organized, with strong analytical and problem-solving skills, and the ability to work in a fast-paced environment. Additionally, you will need to be proficient in using technology, including computer software and telephonic systems, and have a strong understanding of customer service principles and practices. Career Growth Opportunities and Learning Benefits At blithequark, we are committed to supporting the growth and development of our employees, and we offer a range of career growth opportunities and learning benefits to help you achieve your professional goals. These include: Ongoing training and development programs to enhance your skills and knowledge Opportunities for career advancement and professional growth A dynamic and supportive work environment that values diversity and inclusion Access to a range of employee benefits, including health insurance, retirement savings, and paid time off Work Environment and Company Culture At blithequark, we are proud of our dynamic and supportive work environment, which values diversity, inclusion, and collaboration. We believe in fostering a culture of high performance, where our employees are empowered to deliver exceptional service and make a positive impact on the lives of our members. As a fully remote role, you will have the flexibility to work from anywhere in Michigan, and we offer a range of tools and resources to support your success, including: A comprehensive onboarding program to help you get started Ongoing support and guidance from our experienced team members Access to a range of technology and software to support your work A dynamic and supportive virtual work environment that values communication and collaboration Compensation, Perks, and Benefits We offer a competitive compensation package, including a salary range that reflects your experience and qualifications, as well as a range of perks and benefits, including: Health insurance and retirement savings plans Paid time off and holidays Opportunities for career advancement and professional growth A dynamic and supportive work environment that values diversity and inclusion Conclusion If you are a motivated and customer-focused individual who is passionate about delivering exceptional service and making a difference in the lives of our members, we encourage you to apply for this exciting opportunity. As a Medicare Outreach Customer Service Representative at blithequark, you will be part of a dynamic and supportive team that values diversity, inclusion, and collaboration, and you will have the opportunity to make a positive impact on the lives of our members. Don't miss out on this chance to join our team and take your career to the next level – apply today! Apply for this job