**Experienced Bilingual Customer Service Representative – Remote Opportunity for Maryland, Virginia, or Washington, DC Candidates**

Remote Full-time
Are you a highly motivated and customer-focused individual with a passion for delivering exceptional service? Do you have a strong background in call center operations and a proven ability to work in a fast-paced environment? If so, we invite you to join our team at blithequark as an Experienced Bilingual Customer Service Representative. As a key member of our customer service team, you will play a vital role in providing top-notch support to our valued customers, fostering a sense of job satisfaction through problem-solving and positive interactions. **About blithequark** At blithequark, we are dedicated to partnering with health plans and providers to achieve better outcomes for people with complex and costly health conditions. Our mission is to connect the pieces of the fragmented healthcare system and ensure that individuals receive the same level of care and compassion that we would want for our loved ones. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's why diversity and inclusion are core to our business. **What You'll Be Doing** As an Experienced Bilingual Customer Service Representative, you will be responsible for providing exceptional support to our valued customers, fostering a sense of job satisfaction through problem-solving and positive interactions. Your key responsibilities will include: * Answering and managing inbound inquiries regarding health plan benefits and claims, eligibility, medical and other healthcare procedures, billing and payments, and other related topics from customers in a prompt, courteous manner. * Conducting out-bound and/or return calls to customers as necessary. * Asking appropriate questions and listening actively to identify specific questions or issues to provide appropriate response and type of assistance the customer needs while documenting relevant information in a clear and concise manner in computer systems. * Communicating and partnering with customers tactfully and empathetically to resolve issues, using clear language translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can comprehend and act upon. * Handling and processing customer complaints/grievances while applying appropriate conflict management skills to de-escalate potentially stressful situations. * Meeting the performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance. Adhering to all applicable department, organization, and/or regulatory policies and procedures. **What You Bring** To be successful in this role, you will need to bring the following qualifications and skills: * MUST reside in Maryland, Virginia, or Washington, DC. * MUST be Bilingual in Spanish & English (validated via bilingual assessment upon offer acceptance). * At least 1 year call center experience is required. * Ability to handle a heavy call volume of 50-100 calls daily. * Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills, ability to type 35 WPM, and learn new computer programs. * Ability to work regularly scheduled shifts within hours of operation, including the training period, with the flexibility to adjust daily schedule and work over-time and/or weekends, as needed. * Demonstrated ability to take an educative approach, listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the customer, answering questions and informing of health plan policies, procedures, or decisions. * Ability to maintain strict confidentiality of protected health information. * This is a work-from-home position, which requires a quiet, private workspace without noise and distractions, and reliable internet connectivity provided through a wired connection with a minimum of 100 MBPS speed. A mobile, hot spot, or WiFi connection is NOT acceptable. * 2+ years at a health plan, TPA, or related call center setting is preferred. * Knowledge of managed care, Commercial, Marketplace, Medicaid, and/or Medicare programs; knowledge of medical policy benefits and exclusions is preferred. **Technical Requirements** We require that all employees have the following technical capability at their home: High-speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **What We Offer** As a valued member of our team, you will enjoy a comprehensive benefits package, including health insurance benefits, and a competitive salary range of $17.30-18.00/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. We are an equal opportunity employer and consider all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. **How to Apply** If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we invite you to apply for this exciting opportunity. Please submit your resume and contact information, and we will reach out to you if we find the perfect fit. Don't see the dream job you are looking for? Drop off your contact information and resume, and we will reach out to you if we find the perfect fit! **Apply Now** Apply Job! **Life at blithequark** To learn more about our company culture and values, please visit our website at [Life At blithequark]( We look forward to hearing from you and exploring how you can join our team and make a meaningful impact in the lives of our customers. Apply for this job
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