**Experienced Customer Service Specialist – Remote Opportunity at blithequark**
Are you passionate about delivering exceptional customer experiences and making a meaningful impact on people's lives? Do you thrive in a fast-paced environment and enjoy working with diverse stakeholders? If so, we invite you to join blithequark as an Experienced Customer Service Specialist – Remote Opportunity.
At blithequark, we are dedicated to empowering patients to live their best lives by providing full-service home medical equipment products and services. Our team is committed to delivering outstanding customer service, and we are seeking a skilled and compassionate Customer Service Specialist to join our remote team.
**About blithequark**
blithequark is a leading provider of home medical equipment products and services, dedicated to improving the quality of life for patients and their families. Our mission is to deliver exceptional customer experiences, and we are committed to making a positive impact on our community.
**Job Summary**
As an Experienced Customer Service Specialist, you will be responsible for providing exceptional customer service to patients, families, and healthcare professionals. You will work in a fast-paced environment, answering inbound calls, making outbound calls, and processing orders. You will also be responsible for educating patients about their financial responsibilities and ensuring that all documentation is accurate and up-to-date.
**Key Responsibilities**
* Develop and maintain working knowledge of current products and services offered by blithequark
* Answer all calls and emails in a timely manner, in adherence to our goals
* Document all call information according to standard operating procedures
* Answer questions about products and services, retail stores, general service line information, and other information as necessary based on customer call needs
* Process orders, route calls to appropriate resources, and follow up on customer calls where necessary
* Review all required documentation to ensure accuracy
* Accurately process, verify, and/or submit documentation and orders
* Complete insurance verification to determine patient's eligibility, coverage, co-insurances, and deductibles
* Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required
* Must be able to navigate through multiple online EMR systems to obtain applicable documentation
* Enter and review all pertinent information in EMR system, including authorizations and expiration dates
* Communicate with Customer Service and Management on an ongoing basis regarding any noticed trends with insurance companies
* Verify insurance carriers are listed in the company's database system, if not request the new carrier is entered
* Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process
* Meet quality assurance requirements and other key performance metrics
* Facilitate resolution on customer complaints and problem-solving
* Pays attention to detail and has great organizational skills
* Actively listens to patients and handles stressful situations with compassion and empathy
* Flexible with actual work and the hours of operation
* Utilize company-provided tools to maintain quality, including but not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System), and "How-To" documents
**Competency, Skills, and Abilities**
* Excellent customer service skills
* Analytical and problem-solving skills with attention to detail
* Decision-making
* Excellent ability to communicate both verbally and in writing
* Ability to prioritize and manage multiple tasks
* Proficient computer skills and knowledge of Microsoft Office
* Solid ability to learn new technologies and possess the technical aptitude required to understand the flow of data through systems as well as system interaction
* General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
* Work well independently and as part of a group
* Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative, and work effectively on a team
**Requirements**
* Minimum Job Qualifications:
+ High School Diploma or equivalent
+ One (1) year work-related experience in healthcare administrative, financial, or insurance customer services, claims, billing, call center, or management, regardless of industry
+ Senior level requires two (2) years of work-related experience and one (1) year of exact job experience
+ Exact job experience is considered any of the above tasks in a Medicare-certified environment
**What We Offer**
* Competitive salary and benefits package
* Opportunities for career growth and professional development
* Collaborative and dynamic work environment
* Flexible work arrangements, including remote work options
* Comprehensive training and onboarding program
* Recognition and rewards for outstanding performance
* Access to cutting-edge technology and tools
* Opportunities to make a meaningful impact on people's lives
**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 resume and cover letter to [insert contact information]. We look forward to hearing from you!
**Equal Opportunity Employer**
blithequark is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
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