Experienced Customer Service Representative for Remote Position – Delivering Exceptional Support and Empowering Better Health Outcomes

Welcome to blithequark At blithequark, we are driven by a mission to empower better health outcomes through technology, services, and clinical expertise. Our purpose is to innovate health solutions that deliver maximum value and impact, and we invite you to be a part of this journey. "Lead the Way" is our rallying cry, an open invitation to embrace our mission, engage in problem-solving, and take ownership of your work every day. With unparalleled opportunities for growth and development, you will have all you need to take charge of your career and accelerate better outcomes. About the Role We are seeking a highly skilled and dedicated Customer Service Representative to join our growing team. As a Customer Service Representative at blithequark, you will play a vital role in delivering exceptional support to our customers, responding to their inquiries, and resolving their concerns in a prompt, accurate, and courteous manner. Your expertise will be crucial in ensuring that our customers receive the highest level of service, and that their needs are met with empathy, understanding, and professionalism. Key Responsibilities Develop and maintain a deep understanding of our internal policies, procedures, and services, including departmental and operational knowledge Utilize automated systems to log and retrieve information, perform accurate and timely data entry, and manage electronic faxes Receive and respond to customer inquiries via telephone, email, fax, or mail, ensuring that all responses are provided within required turnaround times Interact with external partners, including hospitals, physicians, beneficiaries, and other program recipients, to facilitate communication and resolve issues Perform verification of healthcare services to facilitate payment for received services, and identify medical claims that meet CPT/DRG audit criteria Serve as a liaison between internal and external partners, ensuring seamless communication and collaboration Investigate and resolve provider problems, and escalate difficult situations to the appropriate party as needed Meet or exceed standards for call volume and service level per department guidelines, ensuring that our customers receive exceptional support Initiate cases by collecting and entering demographic, provider, and procedure information into our system Prepare and complete daily, monthly, and quarterly reports as necessary for clinical team operations and client reporting Requirements and Qualifications To be successful in this role, you will need to possess the following essential qualifications and experience: Required Qualifications/Experience High School diploma or equivalent Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications Effective verbal and listening skills to provide courteous and professional customer service Preferred Qualifications/Experience Knowledge of the health insurance industry Experience working in a healthcare setting Medical terminology knowledge is preferred Bilingual (Spanish/English) skills are a plus Minimum of two years of customer service experience What We Offer At blithequark, we are committed to providing our employees with a supportive and inclusive work environment, opportunities for growth and development, and a comprehensive rewards package. Our benefits include: Comprehensive health plans Paid time off Retirement savings Corporate wellness programs Educational assistance Corporate discounts And more The pay range for this position is $15.48-$17.20 an hour, depending on experience and skill level. We also offer a range of perks and benefits, including flexible working arrangements, professional development opportunities, and a dynamic and supportive work environment. Why Join blithequark? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as a vital partner to ensure better healthcare and improve health outcomes. By joining our team, you will have the opportunity to make a meaningful difference in the lives of our customers, and to contribute to the development of innovative health solutions that deliver maximum value and impact. Our Culture and Values At blithequark, we are committed to creating a work environment that is inclusive, supportive, and empowering. We value diversity, equity, and inclusion, and we are dedicated to providing equal opportunities for all employees, regardless of their background, culture, or identity. Our culture is built on a foundation of respect, empathy, and professionalism, and we strive to create a workplace where everyone feels valued, supported, and empowered to succeed. How to Apply If you are a motivated and dedicated customer service professional who is passionate about delivering exceptional support and empowering better health outcomes, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our website. We thank you for your interest in blithequark, and we look forward to hearing from you soon. Equal Opportunities blithequark is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. Apply for this job