Experienced Healthcare Customer Service Representative - Health Plan Support and Member Engagement

Join the Team at blithequark and Make a Difference in Healthcare Are you passionate about delivering exceptional customer service in the healthcare industry? Do you have a keen eye for detail and a commitment to accuracy? blithequark is seeking talented individuals like you to join our team as a Healthcare Customer Service Representative! As a vital part of our operations, you will provide support to health plan members, providers, and their representatives, ensuring a seamless experience for those who rely on our services. About blithequark At blithequark, we are dedicated to providing top-notch healthcare solutions that make a positive impact on people's lives. Our team is built on a foundation of compassion, empathy, and a commitment to excellence. We believe in fostering a culture that values diversity, inclusivity, and growth. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our health plan members and providers. Job Summary As a Healthcare Customer Service Representative at blithequark, you will be the primary point of contact for health plan members, providers, and their representatives. You will respond to inquiries, resolve issues, and provide information on health plan benefits, claims, eligibility, medical procedures, billing, and payments. Your exceptional communication skills, attention to detail, and analytical abilities will enable you to provide accurate and timely support, ensuring a positive experience for our customers. Key Responsibilities Answer and manage inbound calls regarding health plan benefits and claims, eligibility, medical and other healthcare procedures, billing and payments, and other related topics from customers in a prompt, courteous manner. Conduct outbound and/or return calls to customers, as necessary. Ask appropriate questions and listen actively to identify specific questions or issues, providing an appropriate response and type of assistance the customer needs while documenting relevant information in a clear and concise manner in computer systems. Handle and process customer complaints/grievances while applying appropriate conflict management skills to de-escalate potentially stressful situations. Utilize computer systems and Microsoft applications to efficiently manage customer interactions, document information, and perform tasks. Requirements and Qualifications Essential Qualifications: High School Diploma or equivalent required. At least 1 year of call center experience, preferably in a healthcare or customer service environment. Ability to handle a heavy call volume of 50-100 calls daily. Demonstrated ability to use computer and Microsoft applications, including strong keyboard and navigation skills, and ability to type 35 WPM. Analytical skills, excellent verbal, written, and interpersonal communication skills. Detail-oriented with a high level of accuracy and attention to detail. Preferred Qualifications: Experience with healthcare operations, medical terminology, and insurance plans. Knowledge of Medicare/Medicaid and other government-sponsored health plans. Certifications in customer service, healthcare, or a related field. Skills and Competencies Active Listening: ability to attentively listen to customers, understand their concerns, and respond accordingly. Telephone Etiquette: excellent communication skills, including tone, language, and professionalism. Basic Software Skills: proficiency in using computer systems, Microsoft applications, and other software tools. Typing Skills: ability to type accurately and efficiently at 35 WPM. Adapting to Change: flexibility in adapting to new processes, systems, and procedures. Basic Computer Skills: ability to navigate and utilize computer systems, including hardware and software. Call Center: experience in a call center environment, handling inbound and outbound calls. Call Center Support: ability to provide exceptional customer support, resolving issues and addressing concerns. Healthcare: knowledge of healthcare operations, medical terminology, and insurance plans. Medicare/Medicaid: familiarity with government-sponsored health plans and regulations. Training and Development At blithequark, we are committed to the growth and development of our team members. As a Healthcare Customer Service Representative, you will participate in a comprehensive training program that includes: 4-6 weeks of training, Monday-Friday, 8am-4:30pm CST. Ongoing coaching and feedback to ensure success in your role. Opportunities for professional growth and advancement within the company. Work Environment and Culture At blithequark, we strive to create a work environment that is inclusive, supportive, and engaging. Our team members enjoy: A dynamic and fast-paced work environment that is always challenging and rewarding. A culture that values diversity, inclusivity, and growth. Opportunities for professional development and career advancement. A comprehensive benefits package, including health insurance, incentive programs, and 401K contribution. Compensation and Benefits We offer a competitive compensation package that includes: $16.99 - $17 per hour. Comprehensive benefits package, including health insurance, incentive programs, and 401K contribution. Opportunities for bonuses and recognition programs. How to Apply If you are passionate about delivering exceptional customer service in the healthcare industry, we encourage you to apply for this exciting opportunity at blithequark. Please submit your application, including your resume and cover letter, to be considered for this role. We are an equal opportunity employer and welcome applications from diverse candidates. We are committed to providing a work environment that is inclusive and supportive of all team members. Apply for this job