Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits

Are you a customer service professional seeking a new challenge that aligns with your values and passion for helping others? Do you thrive in a dynamic, remote work environment where you can make a meaningful impact? If so, we invite you to join the team at blithequark, a rapidly growing national quality improvement and care management organization dedicated to ensuring that millions of people receive the right care, at the right time, in the right setting.

About blithequark

At blithequark, we're driven by a mission to improve lives through healthcare quality and clinical expertise. Our people-focused approach has earned us a reputation as a leader in the industry, and we're committed to creating a work environment that supports the growth and well-being of our employees. As a Customer Service Representative at blithequark, you'll be part of a team that's passionate about making a difference in the lives of individuals across the country.

Perks of this Role

* Fully Remote Position: Work from the comfort of your own home, with rotational shifts available for EST, CT, or PST.

• Comprehensive Benefits: Enjoy full benefits, including medical, dental, vision, and more, effective the first month following your hire date.
• Paid Time Off: Take advantage of paid time off for a great work-life balance.
• 401k with Match: Contribute to your retirement savings with a 401k plan that includes a match with no vesting period.
• Career Advancement Opportunities: Join a national company with roles all over the US, and build upon your experience to advance your career.

Responsibilities

As a Customer Service Representative at blithequark, you'll be responsible for:

• Providing all customer service support for the Review Team, including interacting with beneficiaries and providers via the helpline.
• Creating, formatting, and proofreading letters, as well as maintaining timeliness.
• Making decisions regarding complex appeals, requiring a great deal of decision-making and critical thinking.
• Communicating verbally and in writing with external customers to furnish and request review information.
• Fostering effective working relationships between blithequark's internal and external customers.
• Assisting with and participating in Review Team discussions to identify areas for potential improvement.
• Answering the Beneficiary Helpline through the utilization of the hunt group and available light functions.
• Determining how to best assist callers, either by providing a service offered by blithequark or by referring them to an external agency.
• Entering referrals into the CMS system.
• Ensuring that all letters are sent out in a timely manner, with correct components included and reviewed for grammatical and spacing errors.
• Validating notices and all components of medical records.
• Providing intake for all appeals received by blithequark.
• Utilizing internal quality control tools to assess individual work and team processes.

Qualifications

To succeed in this role, you'll need:

• A high school diploma or equivalent.
• Post-high school business courses are helpful.
• Medical terminology is desired.
• Excellent verbal communication skills, a courteous and patient demeanor, and the ability to maintain composure under potentially stressful situations.
• Good grammar, punctuation, spelling, hyphenation, and written communications skills.
• Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers.
• Flexibility and the ability to work as a team member and support team decisions.
• General knowledge of a PC-based computer system is desirable, as is knowledge of various software packages with the ability to learn additional software packages as needed.
• The ability to multi-task and prioritize assignments.
• Good organizational skills and the ability to work independently.

Experience

We're looking for candidates with:

• Two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities.
• Prior work in a healthcare setting or medical terminology is recommended.
• Previous data entry or other clerical experience is a plus.

Why Join blithequark?

At blithequark, we're committed to creating a work environment that supports the growth and well-being of our employees.

We offer

• A comprehensive benefits package that includes medical, dental, vision, and more.
• Paid time off for a great work-life balance.
• A 401k plan with a match and no vesting period.
• Opportunities for career advancement and professional growth.
• A dynamic, remote work environment that allows you to work from the comfort of your own home.

How to Apply

If you're a motivated, customer-focused individual with a passion for helping others, we invite you to apply for this exciting opportunity. Please submit your application through our website, and we'll be in touch to discuss your qualifications further.

Equal Opportunity Employer

blithequark is an equal opportunity employer, committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds and perspectives. Apply for this job