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**Experienced Customer Service Representative - Remote Opportunity at blithequark**

Remote, USA Full-time Posted 2025-11-03
Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? Look no further than blithequark, a leading provider of innovative healthcare solutions. As a Customer Service Representative, you will play a vital role in our Clinical Review Department, working closely with healthcare professionals, administrative staff, and other stakeholders to provide top-notch support and service. **About blithequark** blithequark is a forward-thinking organization that is revolutionizing the healthcare industry with its collaborative, non-denial based approach. Our team of healthcare professionals is dedicated to making a difference every day, and we're seeking talented and innovative individuals like you to join our ranks. With a strong IT capability and a commitment to evidence-based solutions, we're empowering healthcare providers to deliver better care and outcomes for patients. **Our Specialty Benefits Management Services** At blithequark, we offer a range of specialty benefits management services, including Cardiology, Oncology, Radiology, Radiation Therapy, Sleep Care, and Musculoskeletal Care. Our team is comprised of healthcare professionals who are passionate about delivering exceptional service and support to our clients and customers. **Job Description** As a Customer Service Representative, you will be responsible for conducting administrative intake and scripted clinical intake of calls for clinical review. You will provide quality customer service through interaction with providers, administrative staff, and others, building and maintaining customer satisfaction with our products and services. You will also collect and enter confidential information, ensuring the highest level of confidentiality in all areas, and maintain high-quality documentation standards when collecting and performing data entry functions. **Key Responsibilities** * Conducts administrative intake and scripted clinical intake of calls for clinical review * Provides quality customer service through interaction with providers, administrative staff, and others * Builds and maintains customer satisfaction with products and services * Collects and enters confidential information, ensuring the highest level of confidentiality in all areas * Maintains high-quality documentation standards when collecting and performing data entry functions * Provides ongoing telephonic support to providers and office staff related to blithequark's Clinical Review process * Provides administrative support to the Clinical Review Department as needed * Participates and understands scope of responsibility pertaining to ongoing Quality Initiative Projects * Maintains acceptable levels of performance for all Key Performance Indicators, such as Average Talk Time (ATT), Quality, and adherence to schedule * Participates in the blithequark Quality Management Program as required * Adheres to all HIPAA, state and federal regulations pertaining to the clinical programs * Adheres to both URAC & NCQA standards in keeping with blithequark's compliance initiatives * Carries out other projects and responsibilities as assigned **Qualifications** * High School Diploma/GED, required * 1 year of customer service experience, required * Ability to hard line internet into computer equipment provided, required * Internet upload speed of 5 mbps and download of 25 mbps, required (verified at onboarding) * HIPAA compliant room, required (verified at onboarding) * Prior experience in the healthcare industry (i.e., prior authorizations, patient care, CPT codes, etc.), preferable * Ability to read clinical terminology with high levels of proficiency * Ability to work efficiently in a fast-paced, high call volume, performance-driven Contact Center * MS Outlook and Windows proficiency * Ability to work on dual monitors and navigate multiple software applications simultaneously * Strong time management skills * Ability to adhere to strict schedule with ability to adapt to schedule changes * Highly skilled at delivering client and customer satisfaction * Must possess strong verbal and written communication skills **Additional Information** All your information will be kept confidential according to EEO guidelines. **Why Join blithequark?** * Opportunity to work with a leading provider of innovative healthcare solutions * Collaborative and dynamic work environment * Competitive compensation and benefits package * Opportunities for career growth and professional development * Recognition and rewards for outstanding performance * Flexible work arrangements, including remote work options **How to Apply** If you're a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear 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 respectful work environment that values diversity, equity, and inclusion. Apply for this job    

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