**Government Programs Customer Service Representative – Remote Opportunity at blithequark**

Are you passionate about delivering exceptional customer service and making a positive impact on people's lives? Do you thrive in a dynamic, fast-paced environment where no two days are ever the same? If so, we invite you to join our team at blithequark as a Government Programs Customer Service Representative. As a key member of our customer service team, you will play a vital role in providing top-notch support to our members, clients, and providers, ensuring their needs are met and exceeded. **About blithequark** At blithequark, we are dedicated to improving oral health through benefit plans, advocacy, and community support. As one of the largest dental plan administrators in the country, we are part of the blithequark Plans Association, which operates two of the largest dental networks in the nation. Our mission is to build healthy, smart, vibrant communities for all, and we amplify this mission by investing in initiatives that drive positive change. **Our Culture** We celebrate our All In culture, a mindset, feeling, and attitude that guides everything we do. We empower our employees to take charge of their careers, encourage innovation, and celebrate diverse thought. Our employees are our greatest asset, and we strive to create a work environment that is inclusive, supportive, and rewarding. **Job Summary** As a Government Programs Customer Service Representative, you will be responsible for providing exceptional customer service to our members, clients, and providers through multiple channels, including telephone, email, fax, and U.S. mail. You will be the primary point of contact for our customers, responding to their inquiries, resolving issues, and providing accurate information about eligibility, benefits, claims, and payment status. **Key Responsibilities** * Promptly and professionally respond to member, client, and provider questions through multiple channels, including telephone, email, fax, and U.S. mail * Clearly and accurately communicate all eligibility, benefit, claim status, and payment information related to caller's questions * Properly identify the reason(s) for the call and provide appropriate resolution to inquiries and complaints within specified timeframes and guidelines established by regulatory agencies or client contracts * Inform and assist callers with grievance and claims appeals processes, as necessary * Clearly, accurately, and thoroughly document information in the customer relationship management system to ensure all relevant details of the phone call are captured * Understand the importance of adhering to regulatory requirements * Meet or exceed quality standards as required for the position * Meet or exceed call center metrics as required for the position * Enter and adjust claims as required **Minimum Requirements** * Bidding Requirements: Employees must have the ability to work an assigned eight (8) hour schedule starting as early as 7:55 a.m. and ending as late as 11:00 p.m., Monday through Friday * Possess a high school diploma or equivalent, with an associate's degree in business administration or a related field preferred * Two years of customer service experience in a business environment that requires the use of a software application to assist customers, preferably in a call center assisting Medicare and/or Medicaid enrollees * Demonstrated knowledge of personal computers and software applications (including Windows) through previous experience and/or coursework * Successful completion of the customer service simulation assessment with a minimum score of 62 out of a possible 100 (assessment waived if candidate previously passed test while at blithequark or if previously held Customer Service Trainee, Customer Service Advisor, or Customer Service Associate position) * Successful completion of the customer service multitasking and call logging assessment with a minimum score of 65 out of a possible 100 * Successful completion of the customer service email composition assessment with a minimum score of 62 out of a possible 100 **Preferred Qualifications** * Experience working in a call center environment, preferably in the healthcare or insurance industry * Knowledge of government programs, including Medicare and Medicaid * Familiarity with dental benefits and claims processing * Excellent communication and interpersonal skills * Ability to work in a fast-paced environment and meet productivity standards * Strong problem-solving and analytical skills * Ability to work independently and as part of a team **What We Offer** * Comprehensive benefits package, including medical, dental, and vision coverage, short- and long-term disability, life insurance, 401(k) savings plans, flex spending accounts, and tuition reimbursement or educational assistance * Annual incentive compensation based on annual business goals * Eight hours of paid volunteer time each year * Access to an on-staff health coach and personal trainer * Virtual lunchtime workouts hosted by the trainer and/or an on-site fitness center * Opportunity to work in a dynamic, fast-paced environment with a team of dedicated professionals * Professional development and growth opportunities * Recognition and rewards for outstanding performance **How to Apply** If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please visit our website at [insert link] to submit your application. **Equal Employment Opportunity** blithequark is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees. We do not discriminate on the basis of race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance. **Join Our Team** At blithequark, we are dedicated to making a positive impact on people's lives. If you share our passion for delivering exceptional customer service and making a difference, we invite you to join our team. Apply today and become a part of our dynamic and inclusive work environment! Apply for this job