Experienced Healthcare Customer Advisor for Special Needs - National Remote Opportunity at blithequark

Transforming Healthcare Experiences for Families with Special Needs

At blithequark, we're revolutionizing the healthcare landscape by making it more responsive, affordable, and equitable. Our mission is to simplify the healthcare experience and create healthier communities. As a Healthcare Customer Advisor for Special Needs, you'll be at the forefront of this transformation, delivering exceptional support to families navigating complex healthcare challenges.

About the Role

As a Healthcare Customer Advisor for Special Needs at blithequark, you'll be part of our highly skilled team dedicated to serving members with special needs and their families. You'll be the primary point of contact, providing compassionate support and resolving issues related to benefits, claims, billing, prior authorizations, and appeals. Your work will have a direct impact on the lives of millions, making a meaningful difference in their healthcare journey.

Key Responsibilities

• Provide holistic family support to members with special needs, owning end-to-end resolution of issues and delivering a memorable, positive experience.
• Serve as an ongoing point of contact for members, primarily via phone, email, chat, and text, creating strong relationships and trust.
• Make independent decisions and solve problems creatively, using sound judgment and critical thinking to resolve complex issues.
• Plan, prioritize, and organize work to meet established objectives, managing project time to ensure timely follow-up and outreach.
• Maintain accurate family counts on our documentation platform and provide high-quality member experiences reflected in post-contact surveys and feedback.
• Foster a strong team environment through activities like mentoring and acting as a resource for colleagues.
• Anticipate member needs and proactively seek out internal and external resources to add value and support.
• Determine appropriate referrals to other programs and services, leveraging technology guidance when necessary.

Essential Qualifications

To succeed in this role, you'll need:

• A High School Diploma or equivalent work experience.
• At least 1 year of experience helping, resolving, or advocating on behalf of members or customers.
• Proficiency in Microsoft Office, including Microsoft Word, Excel, and Outlook.
• The ability to work 40 hours per week, Monday through Friday, from 9:45am to 6:15pm CST, with occasional overtime as needed.
• A dedicated work area with a high-speed internet connection, adhering to blithequark's Telecommuter Policy.

Preferred Qualifications

While not required, the following qualifications can give you a competitive edge:

• Experience with A4Me or Quick Assist.
• Claims processing experience.
• Experience providing care for children with special needs or working in a member-focused healthcare environment.
• A background in service delivery, such as social services, caregiving, hospitality, or social work.

Skills and Competencies

To excel as a Healthcare Customer Advisor for Special Needs, you'll need:

• A passion for helping individuals and families with special needs.
• Strong empathy, compassion, and listening skills.
• The ability to be proactive, organized, and resourceful in resolving issues and providing support.
• Critical thinking and problem-solving skills, with the ability to prioritize time efficiently.
• Excellent written and verbal communication skills, with the ability to understand and tailor approaches to unique individuals and special needs conditions.
• The ability to diffuse member distress, manage complex situations, and translate complex benefit terminology into clear language.
• A strong focus on putting member needs at the center of decisions and delivering more than expected.
• Agility and flexibility in a fast-paced work environment with constant learning and change.
• A coachable mindset focused on professional development and implementing constructive feedback.

Career Growth and Development

At blithequark, we're committed to your growth and development. As a Healthcare Customer Advisor for Special Needs, you'll have opportunities to:

• Develop your skills and expertise through comprehensive training and ongoing coaching.
• Take on new challenges and responsibilities, advancing your career within the organization.
• Explore various roles and departments, discovering new areas of interest and passion.

Work Environment and Culture

As a remote employee at blithequark, you'll enjoy:

• The flexibility to work from anywhere within the U.S., with a dedicated work area that meets our telecommuting requirements.
• A collaborative and supportive team environment, despite physical distance.
• Access to cutting-edge technology and tools, enabling you to deliver exceptional service and support.
• A culture that values diversity, equity, and inclusion, fostering a sense of belonging and community.

Compensation and Benefits

At blithequark, we offer a comprehensive benefits package, including:

• Competitive compensation, with an hourly range of $18.80 to $36.78 per hour for certain locations.
• Incentive and recognition programs, rewarding your hard work and dedication.
• Equity stock purchase and 401k contribution opportunities, helping you build a secure financial future.
• A range of benefits, including medical, dental, and vision coverage, as well as paid time off and holidays.

Join Our Mission

If you're passionate about making a difference in the lives of families with special needs, we invite you to join our team at blithequark. As a Healthcare Customer Advisor for Special Needs, you'll be part of a dynamic and dedicated team, working together to simplify the healthcare experience and create a brighter future for all. Apply now and start making a meaningful impact!