Experienced Remote Customer Service Representative/Call Center Representative – Healthcare Industry

Are you a customer service enthusiast with a passion for delivering exceptional experiences? Do you thrive in fast-paced environments and enjoy working with diverse stakeholders? If so, we invite you to join blithequark as a Remote Customer Service Representative/Call Center Representative in the healthcare industry. This is an exciting opportunity to drive results, define an industry, and grow your career in a dynamic and supportive team.

About blithequark

blithequark is a leading non-profit healthcare organization dedicated to providing high-quality services to its members and providers. Our mission is to improve the health and well-being of our community by delivering innovative solutions, exceptional customer service, and a commitment to excellence. As a Remote Customer Service Representative/Call Center Representative, you will be part of a talented team that shares our passion for making a difference in people's lives.

Job Summary

We are seeking an experienced and enthusiastic Customer Service Representative to join our team. As a Remote Customer Service Representative/Call Center Representative, you will be responsible for providing exceptional customer service to our members, providers, and internal departments. You will be the primary point of contact for customers, answering their inquiries, resolving their concerns, and providing accurate information and education. Your strong communication skills, problem-solving abilities, and attention to detail will enable you to navigate complex situations and provide solutions that meet our customers' needs.

Key Responsibilities

* Answer incoming calls, demonstrating a customer-focused philosophy for all customers, including providers, members, potential members, state agencies, and internal and external customers.

• Explain existing policies, procedures, and benefits to members, providers, and internal departments.
• Research, resolve, and document customer inquiries, concerns, and issues, providing accurate information and education for all inquiries.
• Conduct outgoing calls to customers for follow-up, benefit information, member and provider retention, claims, and other inquiries as needed.
• Utilize resource materials, policies, and procedures, handouts, databases, training opportunities, and multiple systems to help with day-to-day activity.
• Provide clear and thorough documentation into our CRM tool for each call received.
• Maintain strict confidentiality of member, provider, clinical, and organizational information.
• Communicate clearly and effectively with all internal departments and staff, as well as members, providers, state agencies, and other external contacts.
• Work closely with all departments and multidisciplinary teams in support of company goals related to development and implementation of new lines of business, increased enrollment, and compliance with state and federal regulations and NCQA requirements.
• Assist with departmental projects as necessary and directed by the Customer Service management team.
• Perform other duties as assigned in between calls or during slow periods.

Essential Qualifications

* 1-2 years of customer service experience in a call center environment.

• Strong Microsoft Office skills, including proficiency in Word, Excel, and Outlook.
• High School diploma or equivalent required.
• Medical insurance (Medicare and Medicaid) eligibility/enrollment (highly preferred).
• Ability to identify and appropriately handle grievances and appeals, and to facilitate quality of outcomes and/or resolutions for the benefit of all applicable parties.
• Demonstrates support for the client's mission, vision, and values.
• Strong written and verbal communication skills, problem-solving skills, attention to detail, organizational, and time management skills, and ability to handle multiple priorities.

Preferred Qualifications

* 1-2 years of experience in the healthcare industry.

• Call center experience.
• Strong knowledge of medical insurance (Medicare and Medicaid) eligibility/enrollment.

What We Offer

* Competitive salary: $19-$24 per hour, depending on experience.

• Comprehensive benefits package, including:

+ Dental insurance + Health insurance + Vision insurance

• Opportunity to grow your career in a dynamic and supportive team.
• Remote work environment, allowing you to work from the comfort of your own home.
• Collaborative and inclusive company culture.
• Professional development opportunities, including training and education.

How to Apply

If you are a motivated and customer-focused individual with a passion for delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please submit your application today, and join our team at blithequark as a Remote Customer Service Representative/Call Center Representative. Apply Job! Apply to this Job Apply for this job