Experienced Remote Customer Service Representative – Delivering Exceptional Support and Building Strong Relationships with Members and Providers at blithequark

Introduction to blithequark At blithequark, we are driven by a mission to advance patient care, research, teaching, and community service, striving to provide exceptional care to our members. As a not-for-profit organization, we rely on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts, to drive groundbreaking medical discoveries. We believe that high-performing teams are the key to our success and invite all applicants to join us and experience what it means to be part of blithequark. Job Summary We are seeking experienced Remote Customer Service Representatives to join our growing team at blithequark. As a Customer Service Professional (CSP), you will act as the primary point of contact for our members, providers, and other key stakeholders, focusing on exceptional customer satisfaction and first call resolution. Your role will be to provide information, troubleshoot complex issues, and handle and resolve complaints in a professional and courteous manner. Key Responsibilities Serve as the primary liaison for members and providers for all lines of business, including general program inquiries, eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes, and Primary Care Physician assignments. Handle and demonstrate skills in handling benefits, claims, and eligibility calls for the member and provider population. Identify customer issues/concerns rapidly and precisely, research required information using available resources, and triage when necessary. Handle and resolve customer inquiries and complaints, exhausting all efforts within your scope before requesting assistance. Identify and escalate priority issues to create efficiencies and initiate follow-up customer calls where necessary. Complete call logs to record customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken. Refer customer grievances and appeals to designated departments for further investigation. Navigate multiple systems to resolve customer issues and act as the primary representative for blithequark for our customers, focusing on first call resolution and customer engagement. Qualifications To be successful in this role, you will need to bring exceptional customer service skills and communication abilities, as well as a high school diploma or equivalent. An associate's degree in healthcare management is preferred. You will need to be committed to building customer confidence and increasing customer satisfaction by delivering an exceptional experience focused on quality and accuracy. Essential Qualifications Exceptional customer service skills and communication abilities. High school diploma or equivalent required; associate's degree in healthcare management preferred. Ability to handle and demonstrate skills in handling benefits, claims, and eligibility calls for the member and provider population. Strong research and problem-solving skills, with the ability to identify customer issues/concerns rapidly and precisely. Ability to work in a fast-paced environment and navigate multiple systems to resolve customer issues. Preferred Qualifications Previous experience in customer service, preferably in a healthcare or insurance setting. Knowledge of healthcare terminology and concepts. Experience with claims processing and eligibility verification. Strong analytical and critical thinking skills, with the ability to identify and escalate priority issues. Skills and Competencies To be successful in this role, you will need to possess a range of skills and competencies, including: Exceptional customer service skills, with the ability to deliver an exceptional experience focused on quality and accuracy. Strong communication and interpersonal skills, with the ability to build strong relationships with members and providers. Ability to work in a fast-paced environment, with the ability to prioritize tasks and manage multiple priorities. Strong analytical and critical thinking skills, with the ability to identify and escalate priority issues. Ability to navigate multiple systems and technologies, with the ability to learn new systems and processes quickly. Career Growth Opportunities and Learning Benefits At blithequark, we are committed to providing our employees with opportunities for career growth and development. As a Remote Customer Service Representative, you will have the opportunity to develop your skills and knowledge in a range of areas, including customer service, healthcare, and insurance. You will also have access to a range of training and development programs, including: Comprehensive training program, including initial training on member demographic changes and benefit inquiries, as well as ongoing training and development opportunities. Opportunities for career advancement, including promotions to senior customer service roles or other roles within the organization. Access to a range of professional development programs, including leadership development, communication skills, and time management. Work Environment and Company Culture At blithequark, we are committed to creating a positive and supportive work environment that allows our employees to thrive. As a Remote Customer Service Representative, you will be working from home, with the opportunity to work independently and manage your own schedule. You will also be part of a dynamic and supportive team, with regular video meetings and opportunities for collaboration and communication. Company Culture Highlights Dynamic and supportive team environment, with regular video meetings and opportunities for collaboration and communication. Opportunities for career growth and development, including promotions and access to training and development programs. Comprehensive benefits package, including health insurance, retirement savings, and paid time off. Flexible work arrangements, including the opportunity to work from home and manage your own schedule. Compensation, Perks, and Benefits At blithequark, we offer a competitive compensation package, including a hourly rate of $19.42 - $27.74. We also offer a range of perks and benefits, including: Comprehensive benefits package, including health insurance, retirement savings, and paid time off. Flexible work arrangements, including the opportunity to work from home and manage your own schedule. Opportunities for career growth and development, including promotions and access to training and development programs. Recognition and reward programs, including employee recognition and reward schemes. Conclusion If you are a motivated and customer-focused individual who is looking for a challenging and rewarding role, we encourage you to apply for the Remote Customer Service Representative position at blithequark. As a member of our team, you will have the opportunity to make a real difference in the lives of our members and providers, while also developing your skills and knowledge in a range of areas. Don't miss out on this exciting opportunity to join our dynamic and supportive team – apply today! Apply for this job