Experienced Customer Service Representative – Remote Work Opportunity with Blithequark, Delivering Exceptional Support and Solutions to Clients Across Various Communication Channels

Welcome to Blithequark: Where Heart Meets Health At blithequark, we are driven by a singular purpose: to bring our heart to every moment of health. This guiding principle underscores our commitment to delivering human-centric healthcare solutions in a rapidly evolving world. Our brand, with heart at its core, sends a powerful message that the manner in which we deliver our services is equally as important as the services themselves. We invite you to join our team as a Customer Service Representative, where you will play a vital role in transforming our culture and accelerating our ability to innovate and deliver personalized, convenient, and affordable healthcare solutions. Our Heart At Work Behaviors Our Heart At Work Behaviors support our purpose and empower every team member to make a meaningful impact. We strive to create an environment where everyone feels valued and inspired by the role they play in shaping our culture and driving innovation. As a Customer Service Representative at blithequark, you will be expected to embody these behaviors, fostering a culture of empathy, professionalism, and excellence in every customer interaction. Job Overview We are seeking an experienced Customer Service Representative to join our team in a remote work capacity, based in the state of Oklahoma. As a key member of our customer service team, you will be responsible for managing customer queries, resolving complaints, and processing orders across multiple communication channels. Your ability to remain calm under pressure, think critically, and work effectively with computers will be essential in this role. Key Responsibilities: Maintaining a positive, empathetic, and professional attitude toward customers at all times Responding promptly to customer inquiries and resolving issues in a timely and efficient manner Communicating with customers through various channels, including phone, email, and chat Acknowledging and resolving customer complaints, providing feedback and suggestions for process improvements Processing orders, forms, applications, and requests, ensuring accuracy and attention to detail Keeping records of customer interactions, transactions, comments, and complaints, utilizing our customer relationship management system Communicating and coordinating with colleagues as necessary, fostering a collaborative and supportive team environment Providing feedback on the efficiency of the customer service process, contributing to ongoing improvements and enhancements Managing a team of junior customer service representatives, providing guidance, support, and mentorship Position Summary In this role, you will serve as a primary point of contact for customers, answering questions, resolving issues, and providing exceptional customer service. You will triage resulting rework to appropriate staff, conduct extensive claims research on multiple platforms, and assist providers with payment questions. Your ability to provide related information, explain member rights and responsibilities, and make financial decisions to resolve member issues will be critical to your success. Additional Responsibilities: Processes claim referrals, new claim handoffs, nurse reviews, complaints, grievance, and appeals via our target system Educates and assists providers on our self-service options, credentialing, re-credentialing, and contracting questions and issues Assists in compiling claim data for customer audits, determining medical necessity, applicable coverage provisions, and verifying member plan eligibility Required Qualifications To be considered for this role, you must: Reside in the state of Oklahoma full-time Have familiarity with Microsoft Office products and experience in a highly transactional call center environment Possess excellent customer service and critical thinking skills, with the ability to remain calm under pressure Have high-speed internet access (25 mbps or higher) and a consistent connection, with a work location set up with a direct connection to the router (NOT Wi-Fi) Hold a High School diploma or GED equivalent Preferred Qualifications While not required, the following qualifications are preferred: Previous experience in a customer-facing role, preferably in a healthcare or insurance environment Knowledge of claims processing, medical terminology, and healthcare regulations Experience with customer relationship management systems and software applications Strong analytical and problem-solving skills, with the ability to think critically and outside the box Skills and Competencies To succeed in this role, you will need to possess the following skills and competencies: Excellent communication and interpersonal skills, with the ability to build strong relationships with customers and colleagues Strong problem-solving and analytical skills, with the ability to think critically and make informed decisions Ability to work effectively in a fast-paced, dynamic environment, with a high volume of customer interactions Strong attention to detail, with the ability to accurately process orders and resolve customer complaints Ability to work independently, with minimal supervision, and as part of a team Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our team members. As a Customer Service Representative, you will have access to ongoing training and development opportunities, including: Comprehensive training program, including 4 weeks of virtual training Ongoing coaching and feedback, with regular performance evaluations Opportunities for career advancement, including promotions and lateral moves Access to online learning platforms and resources, including courses and certifications Work Environment and Company Culture At blithequark, we pride ourselves on our positive and supportive work environment. As a remote worker, you will be part of a virtual team, with opportunities to connect with colleagues and participate in company-wide initiatives. Our company culture is built on the principles of empathy, professionalism, and excellence, and we strive to create an environment where every team member feels valued and empowered to make a difference. Compensation, Perks, and Benefits We offer a competitive compensation package, including a salary range of $40,000 - $60,000 per year, depending on experience. Additionally, you will be eligible for a range of perks and benefits, including: Comprehensive health insurance, including medical, dental, and vision coverage 401(k) retirement plan, with company match Paid time off, including vacation, sick leave, and holidays Flexible scheduling, with opportunities for remote work and flexible hours Conclusion If you are a motivated and customer-focused individual, with a passion for delivering exceptional service and support, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at blithequark, you will be part of a dynamic and supportive team, with opportunities for growth and development. Don't miss out on this chance to join our team and make a meaningful impact in the lives of our customers. Apply today and take the first step towards a rewarding and challenging career with blithequark! Apply for this job