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

Are you a customer-centric professional with a passion for delivering exceptional experiences? Do you thrive in a dynamic, fast-paced environment where no two days are the same? If so, we invite you to join Blithequark's growing team of Customer Service Professionals (CSPs) as a Remote Customer Service Representative. As a key member of our team, you will play a vital role in providing top-notch support to our members, providers, and other stakeholders, ensuring their needs are met and exceeded. **About Blithequark** Blithequark is a leading not-for-profit organization dedicated to advancing patient care, research, teaching, and community service. Our mission is to provide exceptional care to our patients, and we believe that high-performing teams drive groundbreaking medical discoveries. As a member of our team, you will be part of a collaborative and inclusive environment that values diversity, equity, and inclusion. **The Opportunity** As a Remote Customer Service Representative, you will be the primary point of contact for our members, providers, and other key stakeholders. Your exceptional customer service skills, combined with your ability to troubleshoot complex issues, will ensure that our customers receive the highest level of support and satisfaction. You will be responsible for: * Providing information and resolving inquiries about coverage, benefits, services, and handling complaints * Building customer confidence and increasing customer satisfaction through exceptional experiences focused on quality and accuracy * Interacting with customers to identify issues and concerns, and providing solutions to resolve them * Handling and resolving customer inquiries and complaints, exhausting all efforts within your scope before requesting assistance * Identifying and escalating priority issues to create efficiencies * Initiating follow-up customer calls where necessary * Completing call logs to record customer interactions and transactions * Referencing customer grievances and appeals to designated departments for further investigation **What You'll Bring** To succeed in this role, you will need: * Exceptional customer service skills and exceptional communication abilities * High School Diploma or Equivalent required; Associate's Degree in Healthcare Management preferred * Ability to work in a fast-paced, dynamic environment with multiple priorities and deadlines * Strong problem-solving and analytical skills, with the ability to think critically and creatively * Excellent communication and interpersonal skills, with the ability to build strong relationships with customers and colleagues * Ability to work independently and as part of a team, with a positive attitude and a willingness to learn and adapt **What You'll Do** As a Remote Customer Service Representative, you will be responsible for: * Serving as the primary liaison for members and providers for all lines of business, including MassHealth and Commercial members * Handling and demonstrating skills in handling benefits, claims, and eligibility calls for the member and provider population * Identifying customer issues/concerns rapidly and precisely, and providing solutions to resolve them * Researching required information using available resources and triaging when necessary * Handling and resolving customer inquiries and complaints, exhausting all efforts within your scope before requesting assistance * Identifying and escalating priority issues to create efficiencies * Initiating follow-up customer calls where necessary * Completing call logs to record customer interactions and transactions * Referencing customer grievances and appeals to designated departments for further investigation **Additional Job Details** * This role is 100% Remote, with a quiet, secure, stable, HIPPA-compliant workstation required to work from home in the United States * Eastern Business hours required * 10/20/25 Start Date * 1 Month Training schedule: 8:30 AM - 5:00 PM Mon - Fri EST * Post-Training Schedule: + 9:00 AM - 5:30 PM (Mon, Tue, Wed, and Fri) with 11:30 AM - 8:00 PM (Thurs) (EST) + 9:30 AM - 6:00 PM (Monday-Friday) (EST) * You will train together with other new CSPs * Our Team is growing, and we have over 10 spots open for our October start date! * Our team works from home across many states, with a growing remote team staying connected weekly and daily with Video meetings **Remote Type** Remote **Work Location** 399 Revolution Drive **Pay Range** $19.42 - $27.74/Hourly **Grade** 3 **Compensation and Benefits** At Blithequark, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications, and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums, and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. **EEO Statement** Blithequark is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. **Mass General Brigham Competency Framework** At Blithequark, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. If you are a motivated and customer-focused professional looking for a challenging and rewarding opportunity, we invite you to apply for this exciting role. Join our team at Blithequark and be part of a dynamic and inclusive environment that values diversity, equity, and inclusion. Apply for this job