Experienced Full Time Remote Customer Care Associate I – Delivering Exceptional Service and Support in a Dynamic Healthcare Environment

Introduction to blithequark

At blithequark, we are passionate about making a positive impact on people's lives. Our mission is to provide exceptional service and support to our members and providers, helping them navigate the complex healthcare system with ease. We believe that our work matters, and it fuels our passion and drives every decision we make. As a leader in the healthcare industry, we are committed to delivering high-quality services that make a real difference in people's lives.

Job Highlights

• Position: Customer Care Associate I – Remote
• Company: blithequark
• Compensation: A competitive salary with a pay range of $16.00 - $21.26 per hour, depending on experience and skills
• Start Date: Immediate openings available
• Location: Remote, with the flexibility to work from anywhere

Job Description Summary

We are seeking an experienced and compassionate Customer Care Associate I to join our team. As a front-line service representative, you will provide exceptional support to our members and providers, answering incoming calls and resolving issues related to eligibility, benefits, claims, and authorization of services. Your goal will be to provide outstanding service, striving to resolve member and provider needs on the first call. If you are passionate about delivering exceptional customer service and making a positive impact on people's lives, we encourage you to apply for this exciting opportunity.

Key Responsibilities

• Actively listen to and probe callers in a professional and timely manner to determine the purpose of their calls
• Research and articulate 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 in efforts to continuously improve by identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies
• Mentor and train new staff members to ensure a smooth transition and knowledge sharing
• Assume full responsibility for self-development and career progression, proactively seeking and participating in ongoing training sessions
• Comprehensively assemble and enter patient information into the appropriate delivery system to initiate EAP, Care, and Utilization management programs
• Demonstrate flexibility in areas such as job duties and schedule to aid in better serving members and helping 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, continuing assistance with the Clinician until the call has been resolved
• Inform providers and members on blithequark's appeal process
• Lead or participate in activities 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 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 forward required information to the appropriate staff

Essential Qualifications

• High school diploma or equivalent required
• Customer service experience required, preferably in a healthcare or call center environment
• Proficient typing skills (average 35+ WPM) with strong written and verbal communication skills
• Ability to maneuver through various computer platforms while verifying information on all calls
• Ability to talk and type simultaneously
• Flexibility in scheduling and comfort with change, as customer service is an ever-changing environment

Preferred Qualifications

• Associate's or Bachelor's degree preferred
• Previous experience in a remote or call center environment
• Certifications or training in customer service, healthcare, or a related field
• Bilingual or multilingual skills a plus

Skills and Competencies

• Excellent communication and interpersonal skills
• Strong problem-solving and analytical skills
• Ability to work in a fast-paced environment with multiple priorities and deadlines
• Proficient in Microsoft Office and other software applications
• Strong attention to detail and ability to maintain confidentiality
• Ability to work independently and as part of a team

Career Growth Opportunities and Learning Benefits

At blithequark, we are committed to the growth and development of our employees. As a Customer Care Associate I, you will have access to ongoing training and development opportunities, including:

• Comprehensive training program to ensure your success in the role
• Ongoing coaching and feedback to help you grow and develop in your career
• Opportunities for advancement and career progression within the company
• Access to online courses and training programs to enhance your skills and knowledge
• Recognition and reward programs to recognize your achievements and contributions

Work Environment and Company Culture

At blithequark, we pride ourselves on our dynamic and supportive work environment. As a remote employee, you will be part of a virtual team that is passionate about delivering exceptional service and support to our members and providers. Our company culture is built on the values of:

• Respect and empathy for our members and providers
• Integrity and transparency in all our interactions
• Collaboration and teamwork to achieve our goals
• Innovation and continuous improvement to stay ahead of the curve
• Accountability and responsibility for our actions and decisions

Compensation, Perks, and Benefits

As a blithequark employee, you will be eligible for a comprehensive benefits package, including:

• Competitive salary and bonus structure
• Comprehensive health, dental, and vision insurance
• 401(k) retirement plan with company match
• Paid time off and holidays
• Flexible scheduling and remote work options
• Opportunities for professional growth and development
• Recognition and reward programs to recognize your achievements and contributions

Conclusion

If you are passionate about delivering exceptional customer service and making a positive impact on people's lives, we encourage you to apply for this exciting opportunity. As a Customer Care Associate I at blithequark, you will be part of a dynamic and supportive team that is dedicated to providing exceptional service and support to our members and providers. Don't miss out on this opportunity to join a growing and award-winning company that values its employees and is committed to making a difference in the lives of others. Apply today and start making a difference in people's lives!

Apply now and join the blithequark team!