Experienced Full Stack Customer Service Representative – National Remote Healthcare Support

Join the blithequark Team: Transforming Healthcare, One Conversation at a Time Imagine a career where you can make a real difference in people's lives, working from the comfort of your own home. At blithequark, we're revolutionizing the healthcare experience, creating healthier communities, and removing barriers to quality care. As a Customer Service Representative, you'll be at the forefront of this mission, providing exceptional support to our members and their families. If you're passionate about helping others and delivering outstanding customer service, we want to hear from you! About blithequark blithequark is a leading healthcare company dedicated to simplifying the healthcare experience, making it more responsive, affordable, and equitable. Our work impacts the lives of millions of people for the better, and we're committed to creating a healthcare system that works for everyone. With a focus on compassion, empathy, and customer-centricity, we're building a team of talented professionals who share our vision. Job Summary As a Customer Service Representative at blithequark, you'll play a critical role in creating a quality experience for our members and providers. You'll respond to calls, answer questions, and resolve issues related to healthcare eligibility, claims, and payments. With a focus on first-call resolution, you'll work in a fast-paced environment, utilizing your excellent communication and problem-solving skills to exceed customer expectations. Key Responsibilities: Address and resolve customer service calls empathetically and professionally Accurately document, research, and resolve all inquiries, ensuring clear and complete documentation Respond and resolve inquiries on the first call by identifying the topic and type of assistance the caller needs Monitor and expeditiously close any inquiries that require follow-up based on departmental guidelines Refer unresolved inquiries/Grivances to designated areas for investigation Own problems through resolution on behalf of the caller in real-time or through comprehensive and timely follow-up with support resources Intervene with care providers (doctor's offices) on behalf of participants Assist providers with all levels of requests, ability to problem-solve through resolution Coordinate with field Care Team staff for issue elevation and resolution Maintain up-to-date knowledge and understanding of claims policies, regulatory requirements, and guidelines Successfully utilize all resources available to handle inquiries/multitask Meet or exceed individual and departmental quality standards/achieve performance goals Adhere to, keep updated, and utilize all company guidelines, policies, and procedures Prioritize and adjust individual workload to ensure departmental goals are met Assume responsibility for ad hoc projects or functions that promote the future success of the operation Requirements and Qualifications Essential Qualifications: High School Diploma/GED or 10+ years of equivalent working experience 2+ years of Customer Service experience Must be 18 years of age or older Ability to type a minimum of 40 words per minute Ability to work two evening shifts per week (typically 11am-8pm EST) Ability to work three Holidays not observed by Client (Day after Thanksgiving, Christmas Eve, New Year's Day) Ability to successfully complete the Customer Service training classes and demonstrate proficiency of the material Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm CST Preferred Qualifications: 1+ year of prior experience in an automatic call distribution call center setting Knowledge of CPT/ICD10 coding Knowledge of Medicare/Medicaid guidelines Soft Skills: Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner Proficient problem-solving approach to quickly assess current state and formulate recommendations Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions Flexibility to customize approach to meet all types of member communication styles and personalities Proficient conflict management skills to include ability to resolve issues in a stressful situation Telecommuting Requirements: Ability to keep all company-sensitive documents secure Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a blithequark-approved high-speed internet connection What We Offer: At blithequark, we're committed to providing an exceptional work environment that supports your growth and well-being. Our benefits include: Competitive salary and benefits package Incentive and recognition programs Equity stock purchase and 401k contribution Comprehensive benefits package, including medical, dental, and vision coverage Opportunities for career growth and professional development Flexible work arrangements, including remote work options Diversity, Equity, and Inclusion: At blithequark, we believe that diversity creates a healthier atmosphere. We're an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. How to Apply: If you're passionate about delivering exceptional customer service and making a difference in people's lives, we want to hear from you! Apply now to join our team and start your journey with blithequark. Apply for this job