Experienced Full Stack Customer Service Representative – National Remote Healthcare Support

Join the blithequark Team: Transforming Healthcare, One Conversation at a Time

Imagine a career where you can make a real difference in people's lives, working from the comfort of your own home. At blithequark, we're revolutionizing the healthcare experience, creating healthier communities, and breaking down barriers to quality care. As a Customer Service Representative, you'll be at the forefront of this mission, providing exceptional support to our members and their families. If you're passionate about helping others and delivering outstanding customer service, we want to hear from you!

About blithequark

blithequark is a leading healthcare company dedicated to simplifying the healthcare experience, making it more responsive, affordable, and equitable. Our work impacts the lives of millions of people, and we're committed to creating a healthier, more compassionate world. With a focus on diversity, equity, and inclusion, we're building a culture that values every individual's unique perspective and contribution.

Job Summary

As a Customer Service Representative at blithequark, you'll play a critical role in creating a quality experience for our members and providers. You'll respond to calls, answer questions, and resolve issues related to healthcare eligibility, claims, and payments. With a focus on first-call resolution, you'll work in a fast-paced environment, utilizing your compassion, customer service expertise, and problem-solving skills to exceed customer expectations.

Key Responsibilities:

• Address and resolve customer service calls empathetically and professionally, providing accurate and personalized support.
• Respond and resolve inquiries on the first call, identifying the topic and type of assistance the caller needs.
• Monitor and expeditiously close any inquiries that require follow-up, referring unresolved issues to designated areas for investigation.
• Own problems through resolution on behalf of the caller, partnering with others to resolve complex issues.
• Intervene with care providers on behalf of participants, assisting with appointment scheduling, access to care issues, and more.
• Assist providers with all levels of requests, problem-solving through resolution.
• Coordinate with field Care Team staff for issue elevation and resolution.
• Maintain up-to-date knowledge and understanding of claims policies, regulatory requirements, and guidelines.
• Successfully utilize all resources available to handle inquiries and multitask.
• Meet or exceed individual and departmental quality standards, achieving performance goals.

Requirements and Qualifications

Essential Qualifications:

• High School Diploma / GED or 10+ years of equivalent working experience.
• 2+ years of Customer Service experience.
• Must be 18 years of age or older.
• Ability to type a minimum of 40 words per minute.
• Ability to work two evening shifts per week (typically 11am-8pm EST).
• Ability to work three holidays not observed by Client (Day after Thanksgiving, Christmas Eve, New Year's Day).
• Ability to successfully complete Customer Service training classes and demonstrate proficiency of the material.
• Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm CST, with flexibility for occasional overtime.

Preferred Qualifications:

• 1+ year of prior experience in an automatic call distribution call center setting.
• Knowledge of CPT/ICD10 coding.
• Knowledge of Medicare/Medicaid guidelines.

Soft Skills and Competencies

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

• Compassion and empathy in responding to customers.
• Excellent communication and problem-solving skills.
• Ability to build rapport and respond to customers in a respectful, timely manner.
• Proficient conflict management skills, including resolving issues in stressful situations.
• Flexibility to customize approach to meet all types of member communication styles and personalities.

Telecommuting Requirements

As a remote employee, you'll need to:

• Have a dedicated work area established that is separated from other living areas and provides information privacy.
• Live in a location that can receive a blithequark-approved high-speed internet connection or leverage an existing high-speed internet service.
• Keep all company-sensitive documents secure (if applicable).

What We Offer

At blithequark, we're committed to providing a comprehensive benefits package, including:

• Competitive salary and incentives.
• Comprehensive benefits package.
• Equity stock purchase and 401k contribution (subject to eligibility requirements).
• Opportunities for career growth and development.
• A culture that values diversity, equity, and inclusion.

Why Join blithequark?

By joining our team, you'll have the opportunity to:

• Make a real difference in people's lives.
• Work in a fast-paced, dynamic environment.
• Develop your skills and expertise.
• Be part of a culture that values compassion, empathy, and customer service.

How to Apply

If you're passionate about delivering exceptional customer service and making a difference in healthcare, we want to hear from you! Apply today to join our team and start your journey with blithequark.

blithequark is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.