**Experienced Customer Service Professional (CSP) Level I – Delivering Exceptional Patient Experience in a Dynamic Contact Center Environment**
At blithequark, we are dedicated to providing top-notch customer service to our patients, and we are seeking an experienced Customer Service Professional (CSP) to join our team. As a CSP, you will be the first point of contact for our patients, providing a seamless and efficient experience that sets the tone for their entire interaction with our organization. If you are passionate about delivering exceptional customer service, have a strong work ethic, and are eager to learn and grow, we encourage you to apply for this exciting opportunity.
**About blithequark**
blithequark is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower patients to take control of their health and well-being by providing access to high-quality, patient-centered care. We are committed to fostering a culture of excellence, innovation, and collaboration, and we are seeking like-minded individuals to join our team.
**Primary Duties & Responsibilities**
As a CSP at blithequark, you will be responsible for providing exceptional customer service to our patients, families, and healthcare providers. Your duties will include:
* Receiving inbound phone and electronic referrals from workers compensation insurance companies, nurse case managers, providers, doctors, patients, and other stakeholders
* Opening new cases accurately according to policy and procedures
* Making outbound telephonic/electronic contacts with adjusters and Physical Therapy Centers to verify new case information, request related paperwork, and communicate updates on patient status
* Communicating with adjusters and nurse case managers regarding updates on patient status in a timely manner
* Maintaining TAA goal (Total Agent Availability) monthly
* Consistently meeting MedRisk Customer Support Service & Quality standards (call monitoring and EOC monitoring)
* Reviewing case information and consulting with Case Management to determine if new cases need to be opened or patients can be followed in existing cases
* Validating new case data by reviewing, correcting, deleting, or re-entering data; combining data when account information is incomplete; purging files to eliminate duplication of data
* Requesting verification from insurance companies and other related paperwork from providers telephonically/electronically
* Making outbound calls to Providers and Patients to schedule patient's Physical Therapy
* Understanding blithequark's interdepartmental procedures, policies, and complying with them
* Identifying potential or existing system and/or procedural challenges, and notifying Supervisor and assisting in resolution if needed
* Completing special projects or tasks as assigned by the supervisor
* Applying knowledge of and adhering to the URAC Utilization Management Standards
* Other duties as assigned
**Essential Qualifications**
* Bachelor's degree preferred or industry experience equivalent
* Minimum of 3 years of call center experience with both in-bound and out-bound calls (medium to high volume)
* Excellent verbal and written customer service skills demonstrating a can-do attitude
* Highly developed problem-solving skills
* Strong data entry skills
* Detail-oriented and solid organizational skills
* Solid MS Word, Excel, and Outlook experience
* Ability to multi-task and work independently
* Bilingual in English and Spanish, this is a plus (not required)
**Preferred Qualifications**
* Experience working in a healthcare or insurance-related industry
* Familiarity with workers compensation and utilization management processes
* Experience with case management software and systems
* Strong analytical and problem-solving skills
* Ability to work in a fast-paced environment with multiple priorities and deadlines
**Skills and Competencies**
* Excellent communication and interpersonal skills
* Strong problem-solving and analytical skills
* Ability to work independently and as part of a team
* Strong organizational and time management skills
* Ability to adapt to changing priorities and deadlines
* Strong attention to detail and accuracy
* Ability to maintain confidentiality and handle sensitive information
* Strong customer service skills and a positive attitude
**Career Growth Opportunities and Learning Benefits**
At blithequark, we are committed to providing our employees with opportunities for growth and development. As a CSP, you will have the opportunity to:
* Develop your skills and knowledge in customer service, case management, and utilization management
* Work with a dynamic and experienced team to deliver exceptional patient care
* Participate in ongoing training and professional development opportunities
* Collaborate with other departments to improve processes and procedures
* Contribute to the development of new programs and initiatives
**Work Environment and Company Culture**
blithequark is a dynamic and fast-paced organization that values innovation, collaboration, and excellence. Our team is dedicated to delivering exceptional patient care and making a positive impact in the lives of our patients and families. We offer a supportive and inclusive work environment that encourages open communication, creativity, and teamwork.
**Compensation, Perks, and Benefits**
We offer a competitive compensation package, including:
* Competitive salary
* Comprehensive benefits package, including medical, dental, and vision insurance
* 401(k) retirement plan with company match
* Paid time off and holidays
* Opportunities for professional development and growth
* A dynamic and supportive work environment
**How to Apply**
If you are a motivated and customer-focused individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter explaining why you are the ideal candidate for this role. We look forward to hearing from you!
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