Experienced Customer Service Representative – Remote Call Center Support for blithequark's Non-Profit Healthcare Organization

Are you a customer-centric individual with a passion for delivering exceptional service? Do you thrive in fast-paced environments where no two calls are ever the same? If so, we invite you to join blithequark's dynamic team as a Customer Service Representative in our remote call center. As a key member of our customer support team, you will play a vital role in providing top-notch service to our members, providers, and internal departments.

About blithequark

blithequark is a non-profit healthcare organization dedicated to improving the lives of individuals and communities through innovative healthcare solutions. Our mission is to provide accessible, affordable, and high-quality healthcare services to those who need them most. As a remote Customer Service Representative, you will be part of a team that is passionate about making a difference in the lives of our members and providers.

Job Summary

We are seeking an experienced Customer Service Representative to join our remote call center team. As a Customer Service Representative, you will be responsible for providing exceptional service to our members, providers, and internal departments through phone, email, and other communication channels. You will be the primary point of contact for our customers, answering their questions, resolving their concerns, and providing accurate information and education on our policies, procedures, and benefits.

Key Responsibilities

As a Customer Service Representative, you will be responsible for:

• Answering incoming calls, demonstrating a customer-focused philosophy for all customers, including providers, members, potential members, state agencies, and internal departments
• Explaining existing policies, procedures, and benefits to members, providers, and internal departments
• Researching, resolving, and documenting customer inquiries, concerns, and issues, providing accurate information and education for all inquiries
• Conducting outgoing calls to customers for follow-up, benefit information, member and provider retention, claims, and other inquiries as needed
• Utilizing resource materials, policies, and procedures, handouts, databases, training opportunities, and multiple systems to help with day-to-day activity
• Providing clear and thorough documentation into our CRM tool for each call received
• Maintaining strict confidentiality of member, provider, clinical, and organizational information
• Communicating clearly and effectively with all internal departments and staff, as well as members, providers, state agencies, and other external contacts
• Working closely with all departments and multidisciplinary teams in support of company goals related to development and implementation of new lines of business, increased enrollment, and compliance with state and federal regulations and NCQA requirements
• Assisting with departmental projects as necessary and directed by the Customer Service management team
• Performing other duties as assigned in between calls or during slow periods

Essential Qualifications

To be successful as a Customer Service Representative, you will need:

• 1-2 years of customer service experience
• Strong Microsoft Office skills
• High School diploma or equivalent required
• Medical insurance (Medicare and Medicaid) eligibility/enrollment (highly preferred)
• Ability to identify and appropriately handle grievances and appeals, and to facilitate quality of outcomes and/or resolutions for the benefit of all applicable parties
• Demonstrates support for the client's mission, vision, and values
• Strong written and verbal communication skills, problem-solving skills, attention to detail, organizational, and time management skills, and ability to handle multiple priorities

Preferred Qualifications

* 1-2 years of call center experience

• Customer service experience in a healthcare setting (highly preferred)
• Strong knowledge of medical insurance (Medicare and Medicaid) eligibility/enrollment (highly preferred)

Work Environment and Culture

As a remote Customer Service Representative, you will work in a fast-paced, dynamic environment where no two calls are ever the same. You will be part of a team that is passionate about delivering exceptional service to our members, providers, and internal departments. We offer a collaborative and supportive work environment, with opportunities for growth and development.

Compensation and Benefits

We offer a competitive compensation package, including:

• $19-$24 per hour, depending on experience
• Dental insurance
• Health insurance
• Vision insurance

How to Apply

If you are a customer-centric individual with a passion for delivering exceptional service, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!

Equal Employment Opportunity

blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and supportive work environment that values diversity, equity, and inclusion.

Job Type

Full-time, Contract

Location

Remote

Work Location

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