Medical Claims Customer Service Representative - Remote | WFH at blithequark

Are you passionate about delivering exceptional customer service in the healthcare industry? Do you thrive in a fast-paced, data-driven environment where empathy and technology come together to transform patient care? If so, we invite you to join blithequark, a pioneering healthcare organization committed to making high-quality healthcare affordable, enhancing patient health, and renewing the satisfaction of practicing medicine for healthcare providers. About blithequark At blithequark, we're on a mission to revolutionize the healthcare landscape by integrating cutting-edge technology, predictive analytics, and physician-led expertise. Our innovative approach empowers healthcare providers to deliver exceptional care, prioritizing outcomes and value for all patients. By leveraging remote Healthguides™ and a centralized Managed Service Organization, we foster stronger connections between patients and providers, ensuring that every interaction is personalized, efficient, and effective. Your Role at blithequark As a Customer Service Representative at blithequark, you'll play a vital role in our team, ensuring timely and effective responses to client and member calls. Your responsibilities will include:

Key Responsibilities:

• Handle client and member calls with accuracy and follow-through.
• Deliver outstanding customer service.
• Address inquiries related to claims payment, status, and coverage information.
• Interpret client health plan protocols.
• Assist with claims processing tasks, including reports and workflow queues.
• Document calls accurately and maintain high professionalism.
• Return incoming calls and perform additional duties as assigned.

What You'll Need To succeed in this role, you'll require:

Essential Qualifications:

• 1 to 3 years of customer service experience in healthcare.
• Knowledge of healthcare claims processing.
• Experience in a high-volume call center.
• Background in healthcare or health insurance.
• Proficiency in Microsoft Office and multiple systems.
• Excellent verbal and written communication skills.
• Availability for an 8-hour shift between 8 AM and 6 PM Central Time.

Preferred Qualifications:

• Experience with HMO Managed Care and Medicare Advantage.

What We'd Love If you have experience with HMO Managed Care and Medicare Advantage, we'd love to hear from you. Your expertise will enable you to provide even more value to our clients and members. Benefits at blithequark At blithequark, we're committed to supporting you and your family with a comprehensive benefits package that includes:

Work-Life Balance:

• Work from Home: Enjoy the flexibility of a fully remote position, reducing commute time and allowing you to focus on your professional and personal goals.
• Flexible Time Off: Tailored PTO to help you achieve work-life balance and meet personal goals.
• Paid Parental Leave: Time off to support you when welcoming a new family member.

Health and Wellness:

• Health Coverage: Comprehensive Medical, Dental, and Vision plans to keep you and your family well-covered.
• Life and Disability insurance, with optional additional coverage for you and your loved ones.
• Employee Assistance Program (EAP) for extra support during tough times.

Professional Growth:

• 401(k) plan with a 3% employer match on your 6% contribution.
• Resources and opportunities dedicated to your career development.

Compensation The base pay range for this role is between $18.45 and $20.50 per hour, paid bi-weekly. Final pay rates are based on factors such as skill set, relevant experience, education, location, and certifications. Equal Opportunity Employment We are committed to diversity, inclusion, and belonging. We are an equal opportunity employer and make employment decisions without regard to race, religion, color, age, sex, sexual orientation, gender identity, national origin, citizenship, marital status, familial status, disability, military or veteran status, pregnancy, or any other protected status. We ensure fair treatment in all aspects of employment. Security Policies This role involves adhering to all security policies and procedures to protect all PHI and intellectual properties. Specific responsibilities for security-related roles will be defined by the hiring manager. Join the blithequark Team If you're passionate about delivering exceptional customer service in the healthcare industry and are looking for a dynamic, data-driven environment where empathy and technology come together to transform patient care, we invite you to apply for this exciting opportunity. Apply for this job