**Job Title:** Experienced Customer Service Representative – Healthcare Industry Expert (Remote)

**Job Description:** About blithequark At blithequark, we are dedicated to providing exceptional customer service to our valued clients in the healthcare industry. As a leading provider of innovative solutions, we strive to deliver top-notch support and expertise to our customers. We are now seeking an experienced Customer Service Representative to join our team and help us achieve our mission. Job Summary We are looking for a highly skilled and compassionate Customer Service Representative to join our remote team. As a key member of our customer service team, you will be responsible for providing exceptional support to our clients, responding to their inquiries, and resolving any issues that may arise. If you have a passion for delivering outstanding customer service, a strong understanding of the healthcare industry, and excellent communication skills, we encourage you to apply for this exciting opportunity. Responsibilities As a Customer Service Representative at blithequark, you will be responsible for: Responding to telephone and email inquiries received from clients within defined service standards Negotiating with providers to gain acceptance for plans without network agreements and/or out of network providers Assisting clients with benefits and healthcare questions Documenting all calls received in system-based call log Performing other duties or responsibilities as assigned by management Requirements and Qualifications To be successful in this role, you will need to possess the following qualifications and skills: Education: Minimum HS Diploma/GED, 2 years college or higher education preferred Licensure/Certification Requirements: None Experience: One year Customer Service/Call Center experience in a healthcare-related role, with Medical Intake or Third-Party Administrator (TPA) experience preferred Bilingual English-Spanish a plus Requirements/Skills: Patience and ability to handle difficult situations tactfully and diplomatically Strong customer relations, interpersonal skills Strong appreciation and ability to handle confidential & sensitive information Proficient with Microsoft applications, strong computer skills and computer navigation Excellent data entry and typing skills Knowledge of provider organizations and networks Knowledge and understanding of CMS Medicare reimbursement rates Ability to effectively negotiate rate structures Takes initiative to resolve situations and to accomplish projects actions and tasks Excellent verbal and written communication skills Independent judgment in decision making and problem solving Ability to multi-task & anticipate potential needs/problems Ability to build relationships with internal and external customers Medical Terminology Strong attention to detail Understanding of Self-Funded health benefits a plus Claim processing skills a plus Insurance verification or pre-certification a plus Provider office/facility billing department or financial area Strong analytical and research skills Work Environment and Physical Demands This position is in a typical office/home office environment, which requires prolonged sitting in front of a computer. You will need to have hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including standard computer and phone equipment. Career Growth Opportunities and Learning Benefits At blithequark, we are committed to providing our employees with opportunities for growth and development. As a Customer Service Representative, you will have the chance to: Develop your skills and knowledge in the healthcare industry Work with a talented team of professionals who are passionate about delivering exceptional customer service Participate in ongoing training and development programs to enhance your skills and performance Take on new challenges and responsibilities as you grow and develop in your role Compensation, Perks, and Benefits We offer a competitive salary range of $16.00 to $18.00 per hour, as well as a range of benefits and perks, including: Flexible work arrangements, including remote work options Opportunities for professional growth and development A comprehensive benefits package, including medical, dental, and vision insurance A 401(k) retirement plan with company match Paid time off and holidays Access to ongoing training and development programs How to Apply If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our website. Equal Opportunity Employer blithequark is an Equal Opportunity Employer, including disability/veterans. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees. We welcome applications from qualified candidates of all backgrounds and perspectives. Apply for this job