**Experienced Remote Healthcare Customer Service Representative – Deliver Exceptional Patient Care and Experience**

Remote Full-time
Are you a compassionate and empathetic individual with a passion for delivering exceptional customer service? Do you thrive in a fast-paced, dynamic environment where no two interactions are ever the same? If so, we invite you to join blithequark's team of dedicated professionals as a Remote Healthcare Customer Service Representative. **About blithequark** blithequark is a leading provider of innovative healthcare solutions, dedicated to improving the lives of our clients' members and customers. With a strong commitment to excellence and a passion for delivering exceptional patient care, we strive to create a positive impact on the healthcare industry. Our team of experts is driven by a shared vision of providing personalized, patient-centered care that exceeds expectations. **The Opportunity** As a Remote Healthcare Customer Service Representative at blithequark, you will play a vital role in delivering exceptional patient care and experience. Working from the comfort of your own home, you will be responsible for answering inbound phone calls, responding to inquiries, and resolving issues for our clients' members or customers. Your exemplary customer service skills, patience, understanding, and compassion will make a significant difference in the lives of those you serve. **Responsibilities** As a Remote Healthcare Customer Service Representative, your key responsibilities will include: * Performing PCP Change/Provider Lookup * Looking up Medical Benefits such as benefit maximums, copay/coinsurances, Prior Authorization pre-requisite, and coverage * Reviewing Ancillary Benefits such as Dental, Vision, Over the Counter, etc. * Processing claims inquiries, Member may receive a bill for a service (ex: MRI procedure) * Answering enrollment/disenrollment inquiries * Answering Grievances/Complaints * Performing billing such as making payments, transaction history, premium inquiries, etc. * Managing LEP inquires and disputes * Assisting in material request such as ID cards, Large/Brail print materials, and Catalogs * Providing self-help options such as member portal * Providing local locations to pharmacies, OTC and Specialist **Experience Required for Your Success** To succeed in this role, you will need: * At least a High School diploma or equivalent * Minimum of 18 months Call center experience * Healthcare background a plus * Minimum of 2 years Computer Experience in work environment * Ability to multi-task * Strong written and oral communication skills * Ability to display empathy and care * Dedicated area to work from in your home * Internet speed requirement of 50 Mb/s for download speeds and 10 Mb/s for upload speeds (Wireless access/WIFI is not permitted) **Skills and Competencies** To excel in this role, you will need to possess: * Excellent communication and interpersonal skills * Ability to work in a fast-paced, dynamic environment * Strong problem-solving and analytical skills * Ability to work independently and as part of a team * Strong attention to detail and organizational skills * Ability to maintain confidentiality and handle sensitive information * Strong technical skills, including proficiency in computer software and systems **Career Growth Opportunities and Learning Benefits** At blithequark, we are committed to helping our employees grow and develop their careers. As a Remote Healthcare Customer Service Representative, you will have access to: * Ongoing training and development opportunities * Mentorship and coaching from experienced professionals * Opportunities for career advancement and professional growth * A dynamic and supportive work environment that encourages collaboration and innovation **Work Environment and Company Culture** As a Remote Healthcare Customer Service Representative, you will work from the comfort of your own home, with the flexibility to create your own schedule and work at your own pace. Our company culture is built on a foundation of: * Respect and empathy for our clients and their members * A commitment to excellence and continuous improvement * A passion for delivering exceptional patient care and experience * A supportive and collaborative work environment that encourages innovation and creativity **Compensation, Perks, and Benefits** As a Remote Healthcare Customer Service Representative, you will enjoy: * Competitive hourly rate of up to $13/hr in training, and $14/hr in production * Comprehensive benefits package, including medical, dental, vision, and 401K * Earned PTO and flexible scheduling * Opportunities for career advancement and professional growth **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 this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! **Note:** We are an equal opportunity employer and welcome applications from diverse candidates. We are committed to creating a workplace that is inclusive, respectful, and supportive of all employees. Apply for this job
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