**Experienced Full Stack Customer Care Associate I - Remote**
Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you thrive in a fast-paced, dynamic environment where no two days are ever the same? If so, we invite you to join our team at blithequark as a Full Stack Customer Care Associate I - Remote. As a key member of our customer care team, you will play a vital role in providing top-notch service to our members and providers, ensuring their needs are met, and exceeding their expectations.
**About blithequark**
At blithequark, we're dedicated to helping people get the medicine they need to feel better and live well. Our team is passionate about making a difference in the lives of others, and we're committed to delivering exceptional service that exceeds our customers' expectations. We're a dynamic, growing organization that values new ideas, collaboration, and innovation. If you're looking for a challenging and rewarding career where you can make a real impact, we encourage you to apply.
**Job Summary**
As a Full Stack Customer Care Associate I - Remote, you will be responsible for providing exceptional service to our members and providers, answering incoming calls related to eligibility, benefits, claims, and authorization of services. You will also be responsible for administering intake documentation into the appropriate systems, resolving customer administrative concerns, and mentoring and training new staff. You will be expected to meet or exceed operations production and quality standards, while maintaining confidentiality and adhering to all company policies and procedures.
**Responsibilities**
* Actively listen and probe callers in a professionally and timely manner to determine the purpose of the calls
* Research and articulately communicate information regarding member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality
* Resolve customer administrative concerns as the first line of contact, including claim resolutions and other expressions of dissatisfaction
* Assist efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies
* Assist in the mentoring and training of new staff
* Assume full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal)
* Comprehensively assemble and enter patient information into the appropriate delivery system to initiate the EAP, Care, and Utilization management programs
* Demonstrate flexibility in areas such as job duties and schedule in order to aid in better serving members and help blithequark achieve its business and operational goals
* Educate providers on how to submit claims and when/where to submit a treatment plan
* Identify and respond to Crisis calls and continue assistance with the Clinician until the call has been resolved
* Inform providers and members on blithequark's appeal process
* Lead or participate in activities as requested that help improve Care Center performance, excellence, and culture
* Link or make routine referrals and triage decisions not requiring clinical judgment
* Perform necessary follow-up tasks to ensure member or provider needs are completely met
* Provide information regarding blithequark's in-network and out-of-network reimbursement rates and states multiple networks to providers
* Refer callers requesting provider information to Provider Services regarding blithequark's professional provider selection criteria and application process
* Refer patients/EAP clients to the blithequark's Care Management team for a provider, EAP affiliate, or Facility
* Responsible for updating self on ever-changing information to ensure accuracy when dealing with members and providers
* Support team members and participate in team activities to help build a high-performance team
* Thoroughly document customers' comments/information and forwards required information to the appropriate staff
**Requirements**
* Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment
* Responsible for meeting call handling requirements and daily telephone standards as set forth by management
* Must agree to observing service for the purpose of training and quality control
* Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills
* Must be able to maneuver through various computer platforms while verifying information on all calls
* Must be able to talk and type simultaneously
**Work Experience**
* Work Experience - Required: Customer Service
* Work Experience - Preferred: 1-2 years of experience in a customer-facing role
* Education
* Education - Required: GED, High School Education
* Education - Preferred: Associates, Bachelors
* Certifications
* Certifications - Required: None
* Certifications - Preferred: None
**Compensation and Benefits**
* Potential pay for this position ranges from $16.00 - $21.26 based on experience and skills
* Pay range may vary by 8% depending on applicant location
* To review our Benefits, Incentives, and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail
**Why Join blithequark?**
* We're a dynamic, growing organization that values new ideas, collaboration, and innovation
* We're committed to delivering exceptional service that exceeds our customers' expectations
* We offer a competitive salary and benefits package
* We're proud to be an equal opportunity and affirmative action employer
* We welcome people of different backgrounds, experiences, abilities, and perspectives
**How to Apply**
If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others, we invite you to apply for the Full Stack Customer Care Associate I - Remote position at blithequark. Please submit your application through our website, and we'll be in touch soon to discuss your qualifications further.
**Equal Opportunity Employer**
blithequark is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and diverse work environment that values and respects the contributions of all employees. If you require a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@blithequark.com.
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