Experienced Customer Service Representative - Healthcare: Navigating Complex Medicare Appeals and Delivering Exceptional Patient Experience

At blithequark, we're dedicated to revolutionizing the healthcare industry by providing innovative solutions that prioritize patient care and satisfaction. As a leading organization in the field, we're seeking an experienced and compassionate Customer Service Representative to join our team on a 6-month contract basis. If you're passionate about delivering exceptional customer experiences and navigating complex healthcare scenarios, we invite you to apply for this exciting opportunity.

About blithequark

blithequark is a forward-thinking organization that's committed to transforming the healthcare landscape through cutting-edge technology and compassionate care. Our team of experts is dedicated to providing innovative solutions that prioritize patient satisfaction, streamline processes, and drive exceptional outcomes. As a Customer Service Representative at blithequark, you'll be part of a dynamic team that's passionate about making a meaningful impact in the lives of our patients and customers.

Job Summary

We're seeking an experienced Customer Service Representative to support our Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests. As a key member of our team, you'll be responsible for developing and maintaining a working knowledge of internal policies, procedures, and services, as well as utilizing automated systems to log and retrieve information. Your exceptional communication skills, attention to detail, and ability to navigate complex healthcare scenarios will make you an invaluable asset to our team.

Key Responsibilities

As a Customer Service Representative at blithequark, you'll be responsible for:

• Developing and maintaining a working knowledge of internal policies, procedures, and services (both departmental and operational)
• Utilizing automated systems to log and retrieve information, and performing accurate and timely data entry of electronic faxes
• Receiving inquiries from customers or providers by telephone, email, fax, or mail, and communicating responses within required turnaround times
• Responding to telephone inquiries and complaints in a prompt, accurate, and courteous manner, following standard operating procedures
• Interacting with hospitals, physicians, beneficiaries, or other program recipients, investigating and resolving or reporting customer problems, and identifying and escalating difficult situations to the appropriate party
• Meeting or exceeding standards for call volume and service level per department guidelines
• Initiating files by collecting and entering demographic, provider, and procedure information into the system
• Serving as a liaison between the Review Supervisors and external providers
• Maintaining logs and documents disposition of incoming and outgoing calls

Essential Qualifications

To be successful in this role, you'll need:

• A High School diploma or equivalent
• 2+ years of customer service/telephone experience in a similar call center environment and/or industry
• The ability to effectively communicate with team members and external customers
• The ability to research and resolve issues related to Medicaid program and service eligibility

Preferred Qualifications

While not required, the following qualifications will make you an even stronger candidate:

• Previous experience in the medical office or other medical setting
• General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus)
• Knowledge of CPT and HCPCS codes
• PC proficiency to include Microsoft Office Suite
• Experience with Microsoft programs

Skills and Competencies

To succeed in this role, you'll need to possess:

• Excellent communication and interpersonal skills
• Strong problem-solving and analytical skills
• Ability to work in a fast-paced environment and meet productivity and quality standards
• Strong attention to detail and accuracy
• Ability to navigate complex healthcare scenarios and resolve customer complaints
• Strong computer skills, including Microsoft Office Suite and automated systems

Career Growth Opportunities and Learning Benefits

At blithequark, we're committed to investing in our employees' growth and development. As a Customer Service Representative, you'll have access to:

• Ongoing training and development opportunities to enhance your skills and knowledge
• Opportunities for career advancement and professional growth
• A dynamic and supportive work environment that encourages collaboration and innovation
• A comprehensive benefits package, including health insurance, retirement savings, and paid time off

Work Environment and Company Culture

As a remote opportunity, you'll have the flexibility to work from the comfort of your own home. Our team is passionate about creating a positive and inclusive work environment that values diversity, equity, and inclusion. We're committed to fostering a culture of respect, empathy, and open communication, where every employee feels valued and supported.

Compensation and Benefits

We offer a competitive compensation package, including:

• $17/hour on W2
• Comprehensive benefits package, including health insurance, retirement savings, and paid time off
• Ongoing training and development opportunities to enhance your skills and knowledge

How to Apply

If you're passionate about delivering exceptional customer experiences and navigating complex healthcare scenarios, we invite you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience and qualifications. We can't wait to hear from you!

Contact Information

If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us: Preetam Raj Lead Technical Recruiter blithequark D: 410-505-4857 EXT: 726 E: [email protected] preetam(at)blithequark(dot)com Apply for this job