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**Experienced Customer Service Representative – Medicaid and Medicare Support**

Remote, USA Full-time Posted 2025-11-03
Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you thrive in a dynamic, fast-paced environment where no two calls are ever the same? If so, we invite you to join blithequark's team of dedicated professionals as a Remote Customer Service Representative based in Virginia. At blithequark, we're committed to revolutionizing the healthcare industry by providing personalized, convenient, and affordable solutions to our members and providers. As a key member of our team, you'll play a vital role in delivering exceptional customer service and support to our Aetna Medicaid members and providers. With a strong focus on empathy, active listening, and problem-solving, you'll help resolve complex issues, answer questions, and provide timely solutions to ensure our members receive the care they need. **About blithequark** blithequark is a leading healthcare company dedicated to transforming the way we deliver care. With a passion for innovation and a commitment to excellence, we're driven by a single purpose: to bring our heart to every moment of your health. Our Heart At Work Behaviors support this purpose, empowering our colleagues to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions. **Responsibilities** As a Remote Customer Service Representative, you'll be responsible for: * Answering inbound calls from Aetna Medicaid members and providers, responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits, and programs * Providing timely and accurate solutions to complex issues, ensuring a positive experience for our members and providers * Utilizing high-speed internet connectivity with secure service via ethernet cable, as Wi-Fi is not permitted * Meeting performance standards, attendance requirements, and call quality goals * Collaborating with colleagues to resolve issues and provide exceptional customer service * Participating in ongoing training and development to enhance your skills and knowledge **Requirements** To succeed in this role, you'll need: * High school diploma or equivalent * Ability to communicate effectively with members and providers orally and in written form * Strong customer service skills, with a focus on empathy, active listening, and problem-solving * Ability to work from home and prove self-sufficiency * Reliable high-speed internet connectivity with secure service via ethernet cable * Ability to commute to the office in Richmond, VA when unable to work from home due to prolonged technical problems **Preferred Qualifications** * Experience working remotely in a call center setting * Experience with Medicaid and Medicare * Strong knowledge of healthcare benefits and services * Excellent communication and interpersonal skills * Ability to work in a fast-paced environment with multiple priorities **Work Environment and Culture** As a Remote Customer Service Representative, you'll enjoy a dynamic and supportive work environment that fosters collaboration, innovation, and growth. Our team is dedicated to delivering exceptional customer service and support, and we're committed to providing the resources and training you need to succeed. **Compensation and Benefits** We offer a competitive compensation package, including: * $17.00 - $27.90 per hour (base hourly rate or base annual full-time salary) * Comprehensive benefits, including medical, dental, and vision coverage * 401(k) retirement savings plan and Employee Stock Purchase Plan * Fully-paid term life insurance plan and short-term and long-term disability benefits * Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year * CVS store discount and discount programs with participating partners **Career Growth and Development** At blithequark, we're committed to helping you grow and develop your skills and knowledge. We offer: * Ongoing training and development opportunities to enhance your skills and knowledge * Career growth opportunities within our company * A supportive and collaborative work environment that fosters innovation and creativity **How to Apply** If you're passionate about delivering exceptional customer service and making a meaningful impact in the lives of others, we invite you to apply for this exciting opportunity. Please visit our website at [insert website URL] to learn more about our company and this role. We look forward to hearing from you! **Equal Employment Opportunity** blithequark is an equal opportunity employer, committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. We strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution. **COVID-19 Vaccination Policy** blithequark requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Apply for this job    

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