Experienced Customer Service Representative for Medicare Appeal Process – Remote Opportunity at blithequark

Introduction to blithequark At blithequark, we are driven by a mission to empower better health outcomes through technology, services, and clinical expertise. Our goal is to innovate health solutions that deliver maximum value and impact, and we invite you to be a part of this journey. As a leader in the healthcare industry, blithequark offers unparalleled opportunities for growth, learning, and career advancement. Our team is comprised of passionate individuals dedicated to being a vital partner for health solutions in the public sector, and we are excited to welcome a new Customer Service Representative to our growing team. Job Summary The Customer Service Representative will play a critical role in supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests, and adhering to internal policies and procedures. This position is remote, offering the flexibility to work from anywhere while still being an integral part of our team. As a Customer Service Representative at blithequark, you will have the opportunity to make a meaningful impact on people's lives across the country, and we are committed to providing you with the tools and encouragement you need to achieve the finest work of your career. Key Responsibilities Develop and maintain working knowledge of internal policies, procedures, and services (both departmental and operational) Utilize automated systems to log and retrieve information, and perform accurate and timely data entry of electronic faxes Receive inquiries from customers or providers by telephone, email, fax, or mail, and communicate responses within required turnaround times Respond to telephone inquiries and complaints in a prompt, accurate, and courteous manner, following standard operating procedures Interact with hospitals, physicians, beneficiaries, or other program recipients, and investigate and resolve or report customer problems Identify and escalate difficult situations to the appropriate party, and meet or exceed standards for call volume and service level per department guidelines Initiate files by collecting and entering demographic, provider, and procedure information into the system, and serve as a liaison between the Review Supervisors and external providers Maintain logs and documents disposition of incoming and outgoing calls, and ensure that all customer interactions are handled in a professional and courteous manner Essential Qualifications High School diploma or equivalent 2+ years of customer service/telephone experience in a similar call center environment and/or industry Ability to effectively communicate with team members and external customers Ability to research and resolve issues related to Medicaid program and service eligibility Bilingual (Spanish/English) Preferred Qualifications/Experience Previous experience in the medical office or other medical setting preferred General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus preferred) Knowledge of CPT and HCPCS codes preferred PC proficiency to include Microsoft Office Suite Experience with Microsoft programs Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to training and development programs, as well as opportunities for career advancement within the company. Our team is dedicated to helping you achieve your career goals, and we offer a supportive and collaborative work environment that encourages learning and growth. Work Environment and Company Culture blithequark is a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. We are a company that cares about our employees, and we strive to create a work environment that is inclusive, supportive, and empowering. Our company culture is built on a foundation of respect, integrity, and compassion, and we are committed to making a positive impact on the lives of our employees, customers, and communities. Compensation, Perks, and Benefits blithequark offers a competitive compensation package, including a pay range of $15.85 - $18.20 per hour, depending on experience and skill level. Our benefits package includes comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. We are committed to providing our employees with a total rewards package that recognizes and rewards their contributions to the company. Conclusion If you are a motivated and customer-focused individual who is passionate about making a difference in the healthcare industry, we encourage you to apply for this exciting opportunity at blithequark. As a Customer Service Representative, you will be an integral part of our team, and you will have the opportunity to make a meaningful impact on people's lives across the country. Don't miss out on this chance to join a dynamic and growing company that is dedicated to empowering better health outcomes through technology, services, and clinical expertise. Apply today and take the first step towards a rewarding and challenging career at blithequark! We thank you for your interest in blithequark and look forward to receiving your application. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in blithequark and invite you to apply to future openings that may be of interest. Best of luck in your search! 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