**Experienced Remote Healthcare Customer Service Representative – Delivering Exceptional Patient Experience at blithequark**

Are you passionate about delivering exceptional patient care and experience? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? If so, we invite you to join blithequark as a Remote Healthcare Customer Service Representative. As a key member of our team, you will play a vital role in providing top-notch support to our members, ensuring they receive the best possible care and service. **About blithequark** At blithequark, we are committed to revolutionizing the way healthcare is delivered. Our team of dedicated professionals is passionate about making a difference in the lives of our members, and we are seeking like-minded individuals to join our mission. With a focus on innovation, collaboration, and exceptional customer service, we strive to create a work environment that is both challenging and rewarding. **Job Highlights** * **Location:** Remote * **Compensation:** A competitive salary * **Company:** blithequark * **Position:** Remote Healthcare Customer Service Representative * **Start Date:** Immediate openings available **Job Summary** As a Remote Healthcare Customer Service Representative, you will be responsible for handling incoming calls from members regarding their prescription benefits. You will provide accurate and timely information, educate members on how to best utilize their benefits, and troubleshoot pharmacy claims in real-time. Your exceptional communication skills, empathy, and problem-solving abilities will enable you to deliver a superior customer experience, delighting our members and reducing customer effort. **Key Responsibilities** * Handle incoming calls from members regarding their prescription benefits, including questions about copays, medication coverage, and prior authorization processes * Educate members on how to best utilize their benefits, including formularies, clinical programs, and appeal rights * Troubleshoot pharmacy claims in real-time, verifying information, comparing claim results to benefit rules, and entering allowed overrides to allow claims to pay * Send documents to providers electronically and follow up with members as necessary * Anticipate and address questions to prevent repeat calls, ensuring customer satisfaction and reducing customer effort * Treat all customers with respect and display empathy, adhering to HIPAA regulations and confidentiality requirements * Deliver all relevant information timely, clearly communicating in a manner that ensures customer understanding * Utilize resources consistently to incorporate changes in our fast-paced environment * Adapt to fluctuations in workload from slower times to extremely busy times * Effectively work and communicate with internal teams, including other Customer Care team members, Prior Authorization, and Manual Claims * Maintain scheduled hours and demonstrate flexibility to aid in coverage * Support the client mission statement in a professional manner **Essential Qualifications** * 2+ years of prior medical customer service experience * Excellent phone etiquette and typing skills (40wpm, 500kph) * Basic knowledge of Microsoft Office and internet required, with the ability to review documents of pharmacy benefits * Excellent oral and written communication skills * Ability to hear needs and translate into correct resolution steps * Ability to navigate systems efficiently and effectively while speaking * Ability to balance quality with speed * Ability to identify root cause of a problem from information presented * Ability to use resources to solve problems independently * Reliability, including maintaining your schedule, consistently positive attitude, and professional behavior at all times **Preferred Qualifications** * Experience working in a fast-paced, dynamic environment * Knowledge of healthcare benefits and pharmacy claim processing * Certification in customer service or a related field * Bilingual or multilingual skills **Skills and Competencies** * Excellent communication and interpersonal skills * Ability to work independently and as part of a team * Strong problem-solving and analytical skills * Ability to multitask and prioritize tasks effectively * Strong attention to detail and accuracy * Ability to adapt to changing priorities and deadlines * Strong customer service skills, with a focus on delivering exceptional patient experience * Ability to work in a remote environment, with minimal supervision **Career Growth Opportunities and Learning Benefits** At blithequark, we are committed to helping our employees grow and develop their careers. We offer a range of training and development opportunities, including: * Ongoing training and coaching to enhance your skills and knowledge * Opportunities for career advancement and professional growth * Access to industry-leading tools and technologies * Collaborative and supportive work environment **Work Environment and Company Culture** Our remote work environment is designed to promote flexibility, productivity, and work-life balance. We offer a range of benefits and perks, including: * Flexible scheduling and remote work options * Comprehensive benefits package, including medical, dental, and vision insurance * 401(k) matching program and employee stock purchase plan * Paid time off and holidays * Access to on-site fitness center and wellness programs * Collaborative and supportive work environment **Compensation, Perks, and Benefits** We offer a competitive salary and a range of benefits and perks, including: * Comprehensive benefits package, including medical, dental, and vision insurance * 401(k) matching program and employee stock purchase plan * Paid time off and holidays * Access to on-site fitness center and wellness programs * Collaborative and supportive work environment **Conclusion** If you are a motivated and customer-focused individual who is passionate about delivering exceptional patient care and experience, we invite you to join our team at blithequark. As a Remote Healthcare Customer Service Representative, you will have the opportunity to make a real difference in the lives of our members, while developing your skills and career in a dynamic and supportive environment. Apply today to join our team and start your journey with blithequark! Apply To This Job Apply for this job