Experienced Customer Service Representative – Remote Opportunity for Delivering Exceptional Patient Care and Support

Welcome to blithequark Are you a dedicated and compassionate Customer Service Representative looking for a new challenge in a rapidly growing national quality improvement and care management organization? Do you value care management and quality improvement, and are you motivated, energetic, and excited to become part of a team that makes a real difference in the lives of individuals across the country? If so, you might be our next new team member at blithequark! As a Customer Service Representative, you will play a vital role in supporting the prior authorization process, answering incoming telephone calls, resolving customer questions, complaints, and requests, while adhering to internal policies and procedures and utilizing your working knowledge of our services to meet productivity and quality standards. About blithequark blithequark is a mission-driven organization that improves lives through healthcare quality and clinical expertise. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. Our people are at the heart of everything we do, and we are committed to providing a supportive and inclusive work environment that allows our employees to thrive and grow. At blithequark, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and provides the training and support to do the best work of your career. Key Responsibilities As a Customer Service Representative at blithequark, your key responsibilities will include: Developing and maintaining working knowledge of internal policies, procedures, and services (both departmental and operational) Utilizing automated systems to log and retrieve information, and performing accurate and timely data entry of electronic faxes Receiving inquiries from customers or providers by telephone, email, fax, or mail, and communicating responses within required turnaround times Responding to telephone inquiries and complaints in a prompt, accurate, and courteous manner, following standard operating procedures Interacting with hospitals, physicians, beneficiaries, or other program recipients, and investigating and resolving or reporting customer problems Identifying and escalating difficult situations to the appropriate party, and meeting or exceeding standards for call volume and service level per department guidelines Initiating files by collecting and entering demographic, provider, and procedure information into the system, and serving as a liaison between the Review Supervisors and external providers Maintaining logs and documents disposition of incoming and outgoing calls Essential Qualifications To be successful in this role, you will need: A High School diploma or equivalent Medical terminology course(s) helpful, but not required Knowledge of medical terminology, the health insurance industry, and the ability to speak English fluently enough to be clearly understood over the telephone Effective verbal and listening skills to provide courteous and professional customer service, and the ability to use phone systems effectively Research and investigation skills, and the ability to follow confidentiality policies and procedures Navigating and using electronic equipment and systems easily and proficiently, and the ability to multitask on a personal computer while conducting telephone conversations Experience working in a fast-paced call center environment, and the ability to remain calm and courteous when handling difficult calls and requests Preferred Qualifications While not required, the following qualifications are preferred: Bilingual Spanish-English skills 2+ years of customer service/telephone experience in a similar call center environment and/or industry Effective PC skills, including electronic mail, intranet, and industry-standard applications Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to a range of training and development opportunities, including: Comprehensive training programs to help you develop your skills and knowledge Opportunities for career advancement and professional growth A supportive and inclusive work environment that encourages collaboration and innovation Recognition and reward programs to recognize your achievements and contributions Work Environment and Company Culture At blithequark, we pride ourselves on our positive and supportive work environment. Our company culture is built on the values of: People-focused: we care deeply about our employees and are committed to providing a supportive and inclusive work environment Mission-driven: we are dedicated to improving lives through healthcare quality and clinical expertise Collaboration: we encourage collaboration and innovation, and recognize the importance of teamwork in achieving our goals Integrity: we are committed to operating with integrity, and to doing what is right for our employees, customers, and the communities we serve Compensation, Perks, and Benefits At blithequark, we offer a range of compensation, perks, and benefits to recognize your contributions and support your well-being, including: Competitive salary and bonus structure Comprehensive health plans, including medical, dental, and vision coverage Paid time off, including vacation, sick leave, and holidays Retirement savings plan, including a company match Corporate wellness program, including fitness classes, health screenings, and wellness workshops Education assistance program, including tuition reimbursement and professional development opportunities Corporate discounts, including discounts on products and services from leading brands Conclusion If you are a motivated and compassionate Customer Service Representative looking for a new challenge in a rapidly growing national quality improvement and care management organization, we encourage you to apply for this exciting opportunity at blithequark. As a Customer Service Representative, you will play a vital role in supporting the prior authorization process, answering incoming telephone calls, resolving customer questions, complaints, and requests, while adhering to internal policies and procedures and utilizing your working knowledge of our services to meet productivity and quality standards. Don't miss out on this opportunity to join a dynamic and supportive team, and to make a real difference in the lives of individuals across the country. Apply today! Apply for this job