Experienced Customer Service Representative - Behavioral Health - Providing Exceptional Advocate Care and Support to Members

Remote, USA Full-time
Join the Team at Blithequark: Where Heart Meets Health At Blithequark, we're dedicated to transforming the healthcare experience by putting our heart into every moment of our members' health. Our purpose-driven culture empowers us to deliver enhanced, human-centric healthcare solutions that make a meaningful difference in people's lives. As a leader in the industry, Blithequark is committed to innovation, convenience, and affordability, and we're looking for talented individuals like you to join our team. About the Role: Customer Service Representative - Behavioral Health We're seeking a compassionate and experienced Customer Service Representative to join our Behavioral Health team. As a fully remote role, you'll have the flexibility to work from anywhere in the U.S. while providing exceptional advocate care to our members. Your primary responsibility will be to guide members through their plan of benefits, Aetna policy and procedures, and educate them on online resources. If you're passionate about delivering personalized support and championing for our members' best health, we want to hear from you! Key Responsibilities: Provide advocate care to assist members with a clear path to care, claims understanding and resolution, and educate them on online resources. Guide members through their plan of benefits, Aetna policy and procedures, and ensure compliance with regulatory guidelines. Create an emotional connection with members by understanding and engaging with them to champion for their best health. Build trusting and caring relationships with members, taking accountability for fully understanding their needs. Anticipate customer needs and perform reviews of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Perform financial data maintenance as necessary and explain members' rights and responsibilities in accordance with their contract. Requirements and Qualifications: Essential Qualifications: 1-3 years of Customer Service experience within a Call Center atmosphere. High School Diploma or GED. Preferred Qualifications: Previous Behavioral Health experience. Medical or Insurance background. Associates Degree. Skills and Competencies: To succeed in this role, you'll need: Excellent communication and interpersonal skills. Strong problem-solving and analytical skills. Ability to empathize with members and build trust. Knowledge of healthcare policies and procedures. Proficiency in navigating complex systems and technology. What We Offer: Compensation and Benefits: At Blithequark, we offer a comprehensive compensation package, including: A competitive pay range of $17.00 - $28.46 per hour. A CVS Health bonus, commission, or short-term incentive program. A full range of medical, dental, and vision benefits. A 401(k) retirement savings plan and Employee Stock Purchase Plan. Fully-paid term life insurance and short-term and long-term disability benefits. Paid Time Off (PTO) and paid holidays throughout the calendar year. Career Growth and Learning Opportunities: At Blithequark, we're committed to the growth and development of our team members. You'll have access to: Free development courses and education assistance. A CVS store discount and discount programs with participating partners. Opportunities for career advancement and professional growth. Work Environment and Culture: At Blithequark, we pride ourselves on a culture that values: Innovation and creativity. Collaboration and teamwork. Diversity and inclusion. Work-life balance and flexibility. How to Apply: If you're passionate about delivering exceptional advocate care and support to our members, we encourage you to apply for this exciting opportunity. Please submit your application by August 14, 2024. We look forward to hearing from you! Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws. Apply for this job

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