Experienced Remote Healthcare Customer Service Representative - Join blithequark

Transforming Healthcare through Compassionate Customer Service At blithequark, we're revolutionizing the healthcare industry by providing top-notch customer service to our clients' members. As a leader in Healthcare Systems & Services, we're committed to delivering exceptional experiences that make a real difference in people's lives. We're now seeking an experienced Remote Healthcare Customer Service Representative to join our dynamic team and help us continue to set new standards in customer care. The Opportunity As a Remote Healthcare Customer Service Representative at blithequark, you'll be the primary point of contact for our clients' members, providing timely, empathetic, and effective support via inbound phone calls. This is a permanent work-from-home role that requires a unique blend of technical knowledge, communication skills, and compassion. If you're passionate about delivering outstanding customer service and have a background in healthcare or customer-facing roles, we encourage you to apply. Key Responsibilities Respond to inbound phone calls from members, addressing their queries and concerns in a professional and empathetic manner. Perform a range of tasks, including: PCP Change/Provider Lookup: Assist members with changing their primary care physicians or looking up provider information. Medical Benefits Lookup: Investigate medical benefits, including benefit maximums, copay/coinsurance, prior authorization requirements, and coverage. Ancillary Benefits Review: Examine ancillary benefits, such as dental, vision, and over-the-counter benefits. Claims Inquiries: Process claims inquiries and help members understand their bills for services (e.g., MRI procedures). Enrollment/Disenrollment Inquiries: Answer questions related to enrollment and disenrollment. Grievances/Complaints: Address member grievances and complaints in a timely and professional manner. Billing and Payment: Assist with billing-related tasks, such as making payments, reviewing transaction history, and responding to premium inquiries. LEP Inquiries and Disputes: Manage LEP (Limited English Proficiency) inquiries and disputes. Material Requests: Help members with material requests, including ID cards, large print/Braille materials, and catalogs. Self-Help Options: Provide information on self-help options, such as member portals. Local Location Information: Offer details on local locations for pharmacies, OTC services, and specialists. Essential Qualifications and Skills To succeed in this role, you'll need: A High School diploma or equivalent. A minimum of 18 months of call center experience, preferably in a healthcare or customer service setting. At least 2 years of computer experience in a work environment, with the ability to multitask and navigate multiple systems. Strong written and oral communication skills, with the ability to display empathy and care when interacting with members. A dedicated workspace in your home, free from distractions, with a reliable internet connection (download speed: 50 Mb/s; upload speed: 10 Mb/s). Note that wireless access/WIFI is not permitted. While not essential, having a healthcare background is considered a plus, and experience with healthcare systems and services will be highly valued. What We Offer At blithequark, we're committed to supporting our employees' well-being and career growth. As a Remote Healthcare Customer Service Representative, you'll enjoy: A competitive salary, ranging from $13/hour in training to $14/hour in production. A comprehensive benefits package, including medical, dental, vision, and 401K benefits. Earned PTO (Paid Time Off) to help you maintain a healthy work-life balance. Ongoing training and development opportunities to enhance your skills and knowledge. A dynamic and supportive work environment, with a team passionate about delivering exceptional customer service. Career Growth and Development At blithequark, we're dedicated to helping our employees grow and develop in their careers. As a Remote Healthcare Customer Service Representative, you'll have opportunities to: Develop your technical skills and knowledge of healthcare systems and services. Improve your communication and customer service skills, with ongoing training and feedback. Take on new challenges and responsibilities, with opportunities for career advancement. Collaborate with a talented team of professionals who share your passion for delivering exceptional customer experiences. Our Culture and Work Environment At blithequark, we pride ourselves on our inclusive and supportive culture. As a remote worker, you'll be part of a distributed team that values flexibility, autonomy, and collaboration. We're committed to creating a work environment that's engaging, motivating, and rewarding. Join Our Team If you're a motivated and compassionate customer service professional looking for a new challenge, we encourage you to apply for this exciting opportunity. As a Remote Healthcare Customer Service Representative at blithequark, you'll be part of a dynamic team that's shaping the future of healthcare customer service. Don't miss this chance to join our team and make a real difference in the lives of our clients' members. We're hiring aggressively and have recruiters on standby to interview candidates between 9:00 am and 6:00 pm Eastern Standard Time, Monday through Friday. So why wait? Apply today and take the first step towards a rewarding career with blithequark! Apply for this job