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**Experienced Customer Service Representative - Medicaid and Medicare Support**

Remote, USA Full-time Posted 2025-11-03
Are you a customer service professional with a passion for delivering exceptional experiences to individuals and organizations? Do you have a strong understanding of Medicaid and Medicare policies and procedures? If so, we invite you to join our team at blithequark as an Experienced Customer Service Representative - Medicaid and Medicare Support. At blithequark, we are committed to providing high-quality healthcare services to our members and partners. Our team of dedicated professionals works tirelessly to ensure that our customers receive the support and care they need to thrive. As an Experienced Customer Service Representative, you will play a critical role in delivering exceptional customer experiences and resolving complex issues related to Medicaid and Medicare benefits. **About blithequark** blithequark is a leading healthcare organization dedicated to delivering innovative and personalized healthcare solutions to our members and partners. Our mission is to improve the health and well-being of our communities by providing accessible, affordable, and high-quality healthcare services. We are committed to fostering a culture of excellence, diversity, and inclusion, and we strive to create a work environment that is supportive, collaborative, and rewarding. **Position Summary** As an Experienced Customer Service Representative, you will be responsible for providing telephone assistance to Aetna Medicaid members and providers. You will assist with an array of inquiries, including eligibility, provider changes, and requests for ID cards. You will also be responsible for resolving complex issues related to Medicaid and Medicare benefits, and for providing exceptional customer experiences to our members and partners. **Responsibilities** * Answering in-coming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc. * Requires high-speed internet connectivity with secure service via ethernet cable, use of Wi-Fi is not permitted. * Company provides equipment and training. * Training Schedule: (First 6 weeks) 8:30 AM - 5:00 PM EST, Monday through Friday * Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday **Key Skills and Qualifications** * Strong customer service skills and experience in a call center setting * Excellent communication and problem-solving skills * Ability to work independently and as part of a team * Strong knowledge of Medicaid and Medicare policies and procedures * Ability to work in a fast-paced environment and meet performance standards, attendance requirements, and call quality goals * High school diploma or equivalent required; associate's or bachelor's degree preferred * Experience with working remotely in a call center setting preferred **Preferred Qualifications** * Experience with Medicaid and Medicare * Strong analytical and problem-solving skills * Ability to work in a dynamic and rapidly changing environment * Strong knowledge of healthcare policies and procedures **Work Environment and Culture** blithequark is committed to creating a work environment that is supportive, collaborative, and rewarding. We offer a range of benefits and perks, including: * Competitive salary and benefits package * Opportunities for career growth and development * Collaborative and supportive work environment * Recognition and rewards for outstanding performance * Access to training and development programs * Flexible work arrangements and telecommuting options **Compensation and Benefits** The typical pay range for this role is $17.00 - $25.15 per hour. In addition to your compensation, you will also receive a range of benefits and perks, including: * Medical, dental, and vision benefits * 401(k) retirement savings plan * Employee Stock Purchase Plan * Fully-paid term life insurance plan * Short-term and long-term disability benefits * Paid Time Off (PTO) or vacation pay * Paid holidays throughout the calendar year * Number of paid holidays, sick time, and other time off consistent with relevant state law and Company policies **How to Apply** If you are a motivated and customer-focused individual with a passion for delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please submit your application today, and join our team at blithequark as an Experienced Customer Service Representative - Medicaid and Medicare Support. Apply To This Job **Join Our Team!** We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all our colleagues. If you are a motivated and customer-focused individual with a passion for delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please submit your application today, and join our team at blithequark as an Experienced Customer Service Representative - Medicaid and Medicare Support. Apply for this job    

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