Experienced Healthcare Customer Service Representative - Remote Opportunity with blithequark

Join blithequark as a Remote Healthcare Customer Service Representative blithequark is seeking a highly skilled and experienced Healthcare Customer Service Representative to join our team on a remote basis. As a key member of our customer service team, you will play a vital role in delivering exceptional service to our Medicare population. This is a fantastic opportunity to work with a dynamic organization and be part of a team that is passionate about making a difference in the lives of others. About blithequark and the Healthcare Industry blithequark is a leading organization in the healthcare industry, dedicated to providing innovative solutions and exceptional customer service. Our team is comprised of professionals who are committed to delivering high-quality care and support to our members. As a Healthcare Customer Service Representative, you will be an integral part of our team, working closely with our members, healthcare providers, and internal stakeholders to ensure seamless communication and coordination of care. Key Responsibilities As a Healthcare Customer Service Representative at blithequark, your primary responsibilities will include: Assisting in activities related to the medical and psychological aspects of utilization and coordinated care Making outreach attempts via telephone to members assigned each day, with a focus on delivering exceptional customer service and support Consistently updating an Excel spreadsheet with member assignments listed, ensuring accurate and up-to-date records Maintaining consistent communication with your supervisor, providing regular updates on your progress and any challenges you may be facing Documenting each phone call in Virtual Health, ensuring accurate and timely recording of member interactions Performance Expectations To be successful in this role, you will be expected to meet the following performance expectations: Make a high volume of outbound calls, with a target of 80-120 calls per day to the Medicare population Demonstrate a strong understanding of medical terminology, with the ability to apply this knowledge in a fast-paced customer service environment Maintain reliable home internet connectivity with a dedicated workspace, adhering to HIPAA guidelines and ensuring the security and confidentiality of member data Achieve a compliance rate of 100% for all assigned members, ensuring that all necessary interactions and documentation are completed accurately and on time Maintain an engagement rate of 80% or higher per month, demonstrating your ability to effectively engage with members and deliver meaningful support Achieve an audit score of a minimum of 90%, reflecting your attention to detail and commitment to delivering high-quality service Complete a minimum of 600 members per month, with 30 new members assigned daily, demonstrating your ability to manage a high volume of work and prioritize tasks effectively Qualifications and Skills To be considered for this role, you will need to meet the following qualifications and skills: 2-3 years of experience in a managed care setting, medical office, or facility setting, with a demonstrated understanding of medical administration duties Thorough knowledge of customer service, utilization review, or claims processing practices in a managed care environment Proficiency in operating office equipment, including a personal computer, and a strong understanding of Microsoft Office applications, particularly Excel Knowledge of medical terminology, with the ability to apply this knowledge in a fast-paced customer service environment Excellent time management and organizational skills, with the ability to prioritize tasks effectively and manage a high volume of work Strong communication skills, with the ability to deliver exceptional customer service and support to members High school diploma or equivalent required What We Offer At blithequark, we offer a comprehensive compensation package and a range of benefits, including: A competitive hourly rate of $20.00 per hour Opportunities for career growth and professional development, with a focus on supporting your long-term goals and aspirations A dynamic and supportive work environment, with a team of professionals who are passionate about making a difference in the lives of others Flexible remote work arrangements, allowing you to work from the comfort of your own home and maintain a healthy work-life balance Why Join blithequark? blithequark is a dynamic and innovative organization that is committed to delivering exceptional customer service and support to our members. As a Healthcare Customer Service Representative, you will be part of a team that is passionate about making a difference in the lives of others. We offer a range of opportunities for career growth and professional development, and we are committed to supporting your long-term goals and aspirations. If you are a motivated and experienced customer service professional looking for a new challenge, we encourage you to apply for this exciting opportunity with blithequark. With a strong focus on delivering exceptional service and support, we are confident that you will thrive in this role and be an integral part of our team. Contract Duration and Work Schedule This is a 3-month contract with the potential to extend or convert to a permanent position. The work schedule is 8:30 am - 5:30 pm EST, Monday to Friday. Please note that time off is not permitted in the first 90 days of employment unless pre-planned during the interview process. We look forward to receiving your application and discussing this opportunity further. Apply for this job