Experienced Customer Service Representative - Healthcare Call Center Operations - Remote in Florida

Join the blithequark Team: Deliver Exceptional Healthcare Customer Service from the Comfort of Your Home blithequark is seeking a highly skilled and compassionate Customer Service Representative to join our healthcare call center team remotely in Florida. As a key member of our customer service team, you will play a vital role in delivering exceptional support to our members and providers, ensuring seamless communication and resolving issues efficiently. If you have a passion for healthcare and a knack for providing top-notch customer service, we encourage you to apply for this exciting opportunity. About blithequark and the Healthcare Industry blithequark is a leading organization dedicated to providing innovative solutions and exceptional service in the healthcare industry. Our team is committed to making a positive impact on the lives of our members and providers, and we're looking for talented individuals like you to join our mission. The healthcare industry is rapidly evolving, and blithequark is at the forefront of delivering high-quality, patient-centered care. By joining our team, you'll be part of a dynamic and growth-oriented organization that's shaping the future of healthcare. Key Responsibilities: Assist in resolving missed visits or missed supplies by reaching out to providers for status updates and authorization as needed. Handle all Long-Term Care (LTC) calls from members and providers, focusing on one-call resolution and timely responses. Review and correct authorizations as necessary to match the Patient Care Coordination Plan (PCCP). Triage and route calls correctly, attempting to resolve issues before escalating to a Customer Care representative or supervisor. Provide exceptional customer service, responding to caller inquiries and resolving issues in a professional and courteous manner. Utilize medical terminology and knowledge of healthcare operations to effectively address caller concerns. Collaborate with internal teams, including care coordination and medical management, to ensure seamless communication and issue resolution. Requirements and Qualifications: Essential Qualifications: 2-3 years of experience in a call center or customer service environment, preferably in healthcare or a related field. 2-3 years of experience in managed care or a physician's office setting. Proficiency in medical terminology and healthcare operations. Strong typing skills and proficiency in Microsoft Office applications, including Outlook, Word, and Windows. High School Diploma or equivalent required. Experience with LTC and medical authorization processes is highly desirable. Preferred Qualifications: Previous experience in a healthcare call center or customer service environment. Knowledge of healthcare regulations and compliance requirements. Certification in customer service or a related field. Skills and Competencies: Excellent communication and interpersonal skills. Strong problem-solving and analytical skills. Ability to work in a fast-paced, dynamic environment and prioritize multiple tasks. Strong attention to detail and accuracy. Ability to maintain confidentiality and handle sensitive information. Performance Expectations: As a Customer Service Representative at blithequark, you will be expected to meet the following performance metrics: Call Center metrics: Talk time, Hold, After-call work, and Schedule Adherence of 95% or above. Call Quality scores of 95% or above. One-call resolution and timely responses to caller inquiries. Career Growth Opportunities and Learning Benefits: At blithequark, we're committed to the growth and development of our team members. As a Customer Service Representative, you'll have access to: Comprehensive training and onboarding program. Ongoing coaching and feedback from experienced team leaders and mentors. Opportunities for career advancement and professional growth. Competitive compensation and benefits package. Work Environment and Company Culture: blithequark is a dynamic and growth-oriented organization that values: Exceptional customer service and patient-centered care. Innovation and continuous improvement. Collaboration and teamwork. Diversity, equity, and inclusion. Employee engagement and well-being. As a remote team member, you'll have the flexibility to work from home and maintain a healthy work-life balance. We're committed to creating a positive and supportive work environment that fosters growth, learning, and success. Compensation, Perks, and Benefits: blithequark offers a competitive compensation and benefits package, including: Pay rate: $19-$25 per hour, depending on experience. Comprehensive benefits package, including medical, dental, and vision coverage. Paid time off and holidays. Opportunities for bonuses and incentives. Conclusion: If you're passionate about delivering exceptional customer service in the healthcare industry, we encourage you to apply for this exciting opportunity at blithequark. As a Customer Service Representative, you'll play a vital role in ensuring seamless communication and resolving issues efficiently. With our commitment to growth, learning, and employee engagement, you'll have the opportunity to thrive and make a positive impact in the lives of our members and providers. Apply now and join our team! Apply for this job