**Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits**

Are you an experienced customer service professional looking for a new challenge that aligns with your values and passion for helping others? Do you thrive in a dynamic, remote work environment where you can make a meaningful impact on the lives of individuals across the country? If so, we invite you to join the team at blithequark, 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. **About blithequark** At blithequark, we are people-focused and mission-driven. We believe that our employees are the backbone of our organization, and we provide the training, support, and resources necessary for them to excel in their roles. Our comprehensive benefits package is designed to provide you and your family with additional protection, security, and support for both your career and your life away from work. **Perks of this Role** As a Customer Service Representative at blithequark, you will enjoy the following benefits: * **Fully remote position**: Work from the comfort of your own home, with rotational shifts available for EST, CT, or PST. * **Full benefits**: Enjoy comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more, effective the first month following your hire date. * **Paid time off**: Take breaks and recharge with our generous paid time off policy. * **401k with match**: Grow your retirement savings with our 401k plan, featuring a vesting period of zero. * **Career growth opportunities**: Advance your career with blithequark, a rapidly growing national organization with roles all over the US. **Responsibilities** As a Customer Service Representative at blithequark, you will be responsible for: * **Providing customer service support**: Interact with beneficiaries and providers via the helpline, creating, formatting, and proofreading letters, and maintaining timeliness. * **Decision-making**: Make complex decisions regarding appeals, utilizing internal quality control tools to assess individual work and team processes. * **Communication**: Communicate verbally and in writing with external customers to furnish and request review information, fostering effective working relationships between blithequark's internal and external customers. * **Data entry**: Enter referral information into the CMS system and maintain accurate records. * **Quality control**: Utilize internal quality control tools to assess individual work and team processes, identifying areas for potential improvement. **Qualifications** To succeed in this role, you will need: * **High school diploma or equivalent**: A high school diploma or equivalent is required, with post-high school business courses a plus. * **Medical terminology**: Medical terminology is desired, but not required. * **Excellent verbal communication skills**: You must be courteous, patient, and customer-oriented, with the ability to maintain composure under potentially stressful situations. * **Good grammar, punctuation, spelling, hyphenation, and written communications skills**: You must be able to write clearly and effectively, with attention to detail. * **Customer-focused**: You must be customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers. * **General knowledge of a PC-based computer system**: Knowledge of various software packages is desirable, with the ability to learn additional software packages as needed. * **Multi-tasking and prioritization**: You must be able to multi-task and prioritize assignments, with good organizational skills and the ability to work independently. **Experience** We are seeking candidates with two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities. Prior work in a healthcare setting or medical terminology is recommended, with previous data entry or other clerical experience a plus. **Mental and Physical Requirements** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. **Equal Opportunity Employer** blithequark is an Equal Opportunity Employer. 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. **How to Apply** If you are a motivated, energetic, and customer-focused individual who is passionate about making a difference in the lives of others, we invite you to apply for this exciting opportunity. Please submit your application through our website, and we will be in touch with you shortly to discuss your qualifications further. Apply Now! Apply for this job