**Experienced Customer Service Representative – Telecommute in New Mexico**

At blithequark, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life's best work. **About blithequark** blithequark is a leading health care company dedicated to providing innovative solutions to improve the lives of our members. We're committed to creating a healthier world, one community at a time. Our team of passionate professionals is driven by a shared vision to make a meaningful difference in the lives of those we serve. **Job Summary** We're seeking an experienced Customer Service Representative to join our team in New Mexico. As a telecommuter, you'll have the flexibility to work from home and make a real impact on the lives of our members. In this role, you'll be responsible for providing exceptional customer service to our providers, answering questions, and resolving issues related to benefits, eligibility, billing, and clinical authorizations. **Primary Responsibilities** * Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues * Service providers in a multi-channel environment, including call, concurrent chat, as required * Quickly and appropriately triage contacts from healthcare professionals, including physician offices, clinics, and billing offices * Seek to understand and identify the needs of the provider, answering questions and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health * Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction * Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner * Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business, provider types, and call types * Influence providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool, including aiding in faster resolution **Required Qualifications** * High School Diploma/GED or equivalent work experience * Must be 18 years of age or older * 1 year of customer service experience with analyzing and solving customer concerns * Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications * Ability to type at the speed of greater than or equal to 35-40 WPM (words per minute) with an accuracy of 90% * Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9:35 AM - 6:05 PM CST from Monday - Friday. It may be necessary, given the business need, to work some occasional overtime, weekends, and/or holidays. **Preferred Qualifications** * Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools * Prior health care experience and knowledge of healthcare terminology **Telecommuting Requirements** * Reside within the state of New Mexico * Ability to keep all company-sensitive documents secure (if applicable) * Required to have a dedicated work area established that is separated from other living areas and provides information privacy * Must live in a location that can receive a blithequark-approved high-speed internet connection or leverage an existing high-speed internet service **Soft Skills** * Ability to multi-task, including the ability to type in multiple conversations * Ability to resolve calls and messages, avoiding escalated complaints * Time management skills * Emotional Intelligence and Empathy * Active Listening and Comprehension * Excellent written communication skills * Demonstrated problem-solving, organization, and interpersonal skills * Demonstrated experience with consistently achieving quality and productivity standards **What We Offer** * 10 weeks of paid on-the-job training * Flexible telecommuting schedule * Opportunity to work with a leading health care company * Competitive compensation and benefits package * Opportunities for career growth and development * Collaborative and dynamic work environment * Recognition and rewards for outstanding performance **Why Join blithequark?** At blithequark, we're committed to creating a healthier world, one community at a time. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances. Our team is passionate about making a meaningful difference in the lives of those we serve, and we're looking for like-minded individuals to join us on this journey. **How to Apply** If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, through our website. **Equal Employment Opportunity** 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. **Drug-Free Workplace** blithequark is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. **Apply Now** Apply Job! Apply for this job