**Experienced Medical Customer Service Representative – Remote Opportunity at blithequark**

Are you passionate about delivering exceptional customer service and making a meaningful impact in the lives of individuals and communities? Do you thrive in a dynamic, fast-paced environment where no two days are ever the same? If so, we invite you to join blithequark as a Medical Customer Service Representative, working remotely from the comfort of your own home in Waco, TX or surrounding areas. **About blithequark** blithequark is a leading provider of innovative solutions and services, dedicated to empowering individuals and organizations to achieve their full potential. With a strong commitment to excellence, collaboration, and community engagement, we strive to make a positive impact in the lives of our clients, customers, and the communities we serve. **Job Summary** As a Medical Customer Service Representative at blithequark, you will play a vital role in ensuring the well-being and satisfaction of our Members, while fostering strong relationships with healthcare providers and community organizations. Your expertise, empathy, and passion for delivering exceptional customer service will be instrumental in resolving access barriers, promoting Member education, and advocating for the needs of our diverse population. **Key Responsibilities** * Act as an advocate for the Member and a liaison between the Health Plan and Providers to ensure availability and access to care. * Establish a community presence to promote Member education, identify and resolve any systemic barriers that limit Members' access to appropriate care. * Receive and respond to Member complaints and formal grievances, and identify potential access barriers and resolve as indicated in the grievance procedure. * Investigate and resolve access and cultural sensitivity issues identified by Member Services staff, State staff, providers, advocacy organizations, and recipients. * Participate in local community organizations to acquire knowledge and insight regarding the special health care needs of Members and update and revise educational materials as appropriate. * Serve as primary contact for Member advocacy groups, human services agencies, and State entities. * Maintain confidentiality per HIPAA guidelines. **Essential Qualifications** * High school diploma or equivalent. * 3 years of customer service experience in a healthcare environment. * Medicare and/or Medicaid experience preferred. * Bilingual in Spanish preferred. **Preferred Qualifications** * Experience working with diverse populations, including those with limited English proficiency. * Knowledge of healthcare regulations, policies, and procedures. * Strong communication and interpersonal skills, with the ability to build rapport with Members, healthcare providers, and community organizations. * Ability to work independently and as part of a team, with a strong commitment to collaboration and customer satisfaction. **Skills and Competencies** * Excellent customer service skills, with a focus on empathy, active listening, and problem-solving. * Strong communication and interpersonal skills, with the ability to build rapport with diverse stakeholders. * Ability to work in a fast-paced, dynamic environment, with a strong commitment to meeting deadlines and resolving complex issues. * Strong analytical and problem-solving skills, with the ability to identify and resolve access barriers and cultural sensitivity issues. * Ability to maintain confidentiality and handle sensitive information with discretion. * Strong computer skills, with proficiency in Microsoft Office and other software applications. **Career Growth Opportunities and Learning Benefits** At blithequark, we are committed to the growth and development of our employees. As a Medical Customer Service Representative, you will have access to a range of training and development opportunities, including: * Ongoing training and education on healthcare regulations, policies, and procedures. * Opportunities for career advancement and professional growth. * Access to a range of benefits, including health insurance, retirement plans, and paid time off. **Work Environment and Company Culture** As a remote employee of blithequark, you will have the flexibility to work from the comfort of your own home, while still being part of a dynamic and collaborative team. Our company culture is built on a strong commitment to excellence, collaboration, and community engagement, with a focus on making a positive impact in the lives of our clients, customers, and the communities we serve. **Compensation, Perks, and Benefits** As a Medical Customer Service Representative at blithequark, you will be eligible for a competitive salary, benefits package, and perks, including: * Competitive salary and benefits package. * Opportunities for career advancement and professional growth. * Access to a range of benefits, including health insurance, retirement plans, and paid time off. * Flexible work arrangements, including remote work options. * Ongoing training and education on healthcare regulations, policies, and procedures. **How to Apply** If you are a motivated and compassionate individual with a passion for delivering exceptional customer service, we invite you to apply for the Medical Customer Service Representative position at blithequark. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! Apply for this job