**Experienced Customer Service Representative – Healthcare Industry Expertise**
At blithequark, we pride ourselves on fostering a dynamic work environment that empowers our team members to excel in their roles. As a leading organization in the industry, we understand the significance of exceptional customer service in shaping the perception of our brand. Our commitment to delivering outstanding experiences has earned us a reputation for excellence, and we're seeking a talented Customer Service Representative to join our team.
**About blithequark**
Headquartered in Washington, blithequark has established a strong presence across 26 sites in seven countries, employing a network of over 30,000 dedicated professionals. Our mission is to provide a supportive environment, comprehensive training, and competitive benefits to attract and retain top talent. We believe that a quality agent makes all the difference in delivering exceptional customer experiences, and we're committed to investing in our team members' growth and development.
**The Role**
As a Customer Service Representative at blithequark, you will play a vital role in providing top-notch support to our customers across multiple lines of business. Your primary responsibilities will include:
Key Responsibilities
- Resolving coordination of benefits inquiries by analyzing patient activity, including enrollment, third-party liability, claims attachments, and providing accurate information to customers.
- Developing a comprehensive understanding of insurance coverage and effectively communicating this knowledge to customers and dental professionals.
- Thoroughly documenting all customer interactions, ensuring accuracy and completeness.
- Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations, as well as the usage and benefits of self-service tools.
- Assisting members in gaining access to care by locating a network dentist or assigning them to a primary care dentist.
- Directing inquiries to necessary departments or individuals when the resolution of the inquiry exceeds the scope of this role.
- Responding to customer inquiries in a courteous and professional manner, providing accurate information to resolve all member and provider inquiries through verbal and written communications.
- Researching and resolving internal and external complex customer inquiries, taking ownership of the resolution and setting expectations for follow-up.
- Ensuring resubmissions, stop payments, and voids are handled appropriately.
- Meeting or exceeding individual, department, and client-specific goals.
- Understanding and adhering to all client administrative and contractual policies and procedures.
- Suggesting ways to improve service delivery processes, contributing to the success of the organization.
Essential Qualifications
- A High School Diploma or Equivalent.
- At least 2 years of experience in a high-volume customer service environment.
- Experience in the healthcare or related industry is preferred.
- The ability to multitask using multiple applications simultaneously.
- The ability to set up computer equipment and troubleshoot issues with minimal assistance.
- Professional verbal and written communication skills.
- The ability to operate a computer and knowledge of Microsoft Office applications.
- Strong organizational skills and attention to detail.
- The ability to work independently and as part of a team.
- Cooperative, professional, and effective interaction skills.
- Critical thinking and problem-solving skills.
- The ability to tolerate repetitive work without compromising accuracy and service levels.
- Willingness to attend additional training as requested or deemed necessary.
Preferred Qualifications
- Medical or dental terminology knowledge experience.
- Medicare or Medicaid knowledge.
- Claims or billing and coding experience.
- Medical, Dental, and Vision insurance.
- A 401(k) Retirement Savings Plan.
- Paid Time Off.
- Paid T-Mobile cell service.
- A $500.00 Employee Referral Program.
- Access to Employee PerkSpot, offering discounts on retail, hotel, food, restaurants, car rental, and more!
- Comprehensive training programs to enhance your skills and knowledge.
- Opportunities for career advancement and professional growth.
- A supportive and collaborative work environment that encourages learning and innovation.