**Experienced Customer Service Representative – Remote Opportunity with blithequark**

Are you a highly motivated and customer-focused individual looking for a new challenge in the healthcare industry? Do you have a passion for delivering exceptional service and making a real difference in people's lives? If so, we encourage you to explore this exciting opportunity to join blithequark as a Customer Service Representative. **About blithequark** blithequark is a rapidly growing national quality improvement and care management organization dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. Our mission-driven approach is centered around improving lives through healthcare quality and clinical expertise. We are committed to fostering a culture of care and compassion, where our employees can grow, develop, and thrive. **Why Join blithequark?** At blithequark, you will have the opportunity to be part of a dynamic team that is shaping the future of healthcare. Our organization is built on the principles of people-focused and mission-driven, where every employee plays a vital role in delivering exceptional care and service to our customers. We offer a comprehensive benefits package, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. **Key Responsibilities** As a Customer Service Representative with blithequark, you will be responsible for supporting the prior authorization process by: * Answering incoming telephone calls and resolving customer questions, complaints, and requests in a prompt, accurate, and courteous manner * 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 * Interacting with hospitals, physicians, beneficiaries, or other program recipients to resolve customer problems and provide exceptional service * Investigating and resolving or reporting customer problems, identifying and escalating difficult situations to the appropriate party * 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 * Serving as a liaison between 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 * 2+ years of customer service/telephone experience in a similar call center environment and/or industry * Strong communication and interpersonal skills, with the ability to speak English fluently and effectively * Ability to multitask on a personal computer while conducting telephone conversations * Experience working in a fast-paced call center environment * Ability to remain calm and courteous when handling difficult calls and requests **Preferred Qualifications** * Bilingual Spanish-English a plus * Effective verbal and listening skills to provide courteous and professional customer service * Effective PC skills, including electronic mail, intranet, and industry-standard applications **Skills and Competencies** To excel in this role, you will need to possess: * Strong knowledge of medical terminology and the health insurance industry * Ability to research and investigate customer inquiries and resolve problems * Ability to navigate and use electronic equipment and systems easily and proficiently * Multitasking skills, with the ability to work in a fast-paced call center environment * Strong communication and interpersonal skills, with the ability to provide courteous and professional customer service * Ability to work independently and as part of a team **Career Growth Opportunities and Learning Benefits** At blithequark, we are committed to providing our employees with opportunities for growth and development. As a Customer Service Representative, you will have access to: * Comprehensive training and onboarding program * Ongoing coaching and feedback to support your growth and development * Opportunities for advancement and career progression * Access to industry-leading tools and technologies * Collaborative and supportive work environment **Work Environment and Company Culture** blithequark is a dynamic and fast-paced organization that values innovation, collaboration, and customer satisfaction. Our work environment is designed to foster creativity, productivity, and teamwork, with a focus on delivering exceptional service and care to our customers. We are committed to creating a culture of care and compassion, where every employee feels valued, respected, and supported. **Compensation, Perks, and Benefits** As a Customer Service Representative with blithequark, you will be eligible for a comprehensive benefits package, including: * Comprehensive health plans * Paid time off * Retirement savings * Corporate wellness * Educational assistance * Corporate discounts * And more! **How to Apply** If you are a motivated and customer-focused individual looking for a new challenge in the healthcare industry, we encourage you to apply for this exciting opportunity to join blithequark as a Customer Service Representative. Please submit your application through our website, including your resume and a cover letter outlining your qualifications and experience. **Equal Opportunity Employer** blithequark is an Equal Opportunity Employer, committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds and perspectives. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Apply for this job