**Experienced Customer Service Representative – TRICARE Program Support (Remote Position)**
Are you passionate about delivering exceptional customer service and making a difference in the lives of others? Do you have a strong desire to work in a dynamic and supportive environment that values teamwork and innovation? If so, we invite you to join blithequark's team as an Experienced Customer Service Representative – TRICARE Program Support. As a key member of our team, you will play a vital role in providing empathetic and efficient support to beneficiaries, family members, military personnel, and medical providers through our TRICARE program.
**About blithequark**
blithequark is a leading provider of business services to governments, helping them operate health and human services programs with excellence. Our team of dedicated professionals is committed to delivering high-quality services that make a positive impact on people's lives. We are proud to be an Affirmative Action/Equal Opportunity Employer, valuing diversity and inclusion in all aspects of our business.
**Job Summary**
As an Experienced Customer Service Representative – TRICARE Program Support, you will be responsible for providing exceptional customer service to beneficiaries, family members, military personnel, and medical providers through our TRICARE program. You will work in a remote setting, using your excellent communication and interpersonal skills to resolve complex and escalated concerns, while maintaining a high level of professionalism and empathy. Your primary goal will be to exceed customer expectations, while ensuring optimal quality case coordination and service delivery.
**Key Responsibilities**
* Provide customer service for basic and routine inquiries and problems via multiple channels (telephone, emails, web chats, or written letters)
* Use computerized systems for tracking, information gathering, and/or troubleshooting
* Provide feedback when needed, provide input on call trends, processes, procedures, and training
* Respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff
* Ensure incoming communications are answered promptly, appropriately, and courteously
* Demonstrate a "can do" and professional attitude when servicing beneficiaries and clients
* Provide callers with informed and objective responses to complex or escalated concerns regarding program eligibility requirements, enrollments, and program benefits
* Retrieve, research, and analyze data from multiple databases to answer client concerns
* De-escalate and manage complaints in a professional manner, resolving them wherever possible or escalating them to the appropriate department or line manager
* Accurately perform all data entry functions to reflect and document client activity/transactions and do so in a timely manner
* Meet performance requirements and maintain knowledge of project policies and procedures
* Actively participate in and support departmental and organizational quality initiatives and goals
* Work in a systematic, methodical, and orderly way to maintain quality work and high productivity
* Maintain effective interdepartmental relationships and interaction with peers to create a cohesive and productive environment
* Make recommendations for changes to current policies or need for new policy to your supervisor in the spirit of process improvements
* Complete any other reasonable duties as requested by the manager
* Comply with HIPAA (Health Insurance Portability and Accountability) privacy rules
**Requirements**
* High school diploma or equivalent with 6 months of customer service experience
* Must be able to speak and read English clearly, professionally, and fluently
* Ability to obtain US Security Clearance
* Must be a US Citizen
* Minimum of 1+ years of contact center experience, preferably in a healthcare-related environment
* Minimum 3+ years of experience in delivering excellent customer service in a high-paced environment
* Experience with healthcare insurance plans and billing
* Experience with military health programs
* Experience of healthcare terms
* Experience working remotely as part of a team, including using Microsoft Office Suite, Teams, Zoom, SharePoint, Chat, and other digital tools
* Ability to speak Spanish, highly desirable
* Excellent written and oral communication skills
* Strong interpersonal skills with the ability to build relationships
* Proactive, self-starter with the ability to work well in a team environment
* Detail-oriented with good organizational skills and capable of effectively prioritizing and multitasking
**Remote Work Requirements**
* HIPAA-compliant workspace – Private and Secure workspace away from others, noise, and distractions
* Reliable high-speed internet – Ethernet/hard-wired connection (no WiFi or Hotspots)
* Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to www.speedtest.net)
**Benefits and Compensation**
* Hourly Base Pay Minimum for this Position: $18.75
* Hourly Base Pay Maximum for this Position: $18.75
* Pay Transparency: blithequark will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor
* Compensation and benefits package will be discussed during the interview process
**Why Join blithequark?**
* Opportunity to work in a dynamic and supportive environment that values teamwork and innovation
* Chance to make a positive impact on people's lives through our TRICARE program
* Competitive compensation and benefits package
* Professional growth and development opportunities
* Collaborative and inclusive work environment
* Recognition and rewards for outstanding performance
**How to Apply**
If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, through our website: [https://remotejobs.trendingnewsgo.com/register-candidate/](https://remotejobs.trendingnewsgo.com/register-candidate/). We look forward to hearing from you!
**Equal Employment Opportunity**
blithequark is an Affirmative Action/Equal Opportunity Employer, valuing diversity and inclusion in all aspects of our business. We are committed to providing equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disabled status.
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