**Job Title:** Customer Service Representative – Work From Home at blithequark

**Job Description:** Join the blithequark Team: A Leader in Delivering Enhanced Human-Centric Healthcare At blithequark, we're committed to bringing our heart to every moment of your health. Our purpose is to deliver enhanced human-centric healthcare for a rapidly changing world, and we're looking for talented individuals to join our team. As a Customer Service Representative, you'll play a vital role in transforming our culture and accelerating our ability to innovate and deliver solutions that make healthcare more personal, convenient, and affordable. About blithequark blithequark is a company that shares a single, clear purpose: Bringing our heart to every moment of your health. Our brand is anchored in our purpose, with heart at its center, and our commitment to delivering enhanced human-centric healthcare is unwavering. We believe that how we deliver our services is just as important as what we deliver, and we're dedicated to making a positive impact on the lives of our customers. Our Heart At Work Behaviors Our Heart At Work Behaviors support our purpose and guide our commitment to delivering exceptional customer service. We want everyone who works at blithequark to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions. Our Heart At Work Behaviors include: * Empathy: We put ourselves in our customers' shoes and understand their needs and concerns. * Accountability: We take ownership of our actions and decisions, and we're responsible for delivering exceptional results. * Collaboration: We work together as a team to achieve our goals and deliver exceptional customer service. * Innovation: We're always looking for new and better ways to deliver our services and make a positive impact on our customers' lives. * Respect: We treat our customers, colleagues, and partners with respect and dignity, and we value diversity and inclusion. Job Summary We're seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a Customer Service Representative, you'll be responsible for managing customer queries and complaints, processing orders, and escalating complaints across multiple communication channels. You'll also be required to work from home and must live in the State of Oklahoma. Responsibilities * Maintaining a positive, empathetic, and professional attitude toward customers at all times. * Responding promptly to customer inquiries. * Communicating with customers through various channels. * Acknowledging and resolving customer complaints. * Knowing our products inside and out so that you can answer questions. * Processing orders, forms, applications, and requests. * Keeping records of customer interactions, transactions, comments, and complaints. * Communicating and coordinating with colleagues as necessary. * Providing feedback on the efficiency of the customer service process. * Managing a team of junior customer service representatives. Position Summary As a Customer Service Representative, you'll be responsible for answering questions and resolving issues based on phone calls/letters from members, providers, and plan sponsors. You'll triage resulting rework to appropriate staff and provide excellent customer services for high-volume inbound provider calls for the Claims Inquiry/Claims Research team. You'll also conduct extensive claims research on multiple platforms to assist providers with payment questions. Key Responsibilities * Answering questions and resolving issues based on phone calls/letters from members, providers, and plan sponsors. * Triaging resulting rework to appropriate staff. * Providing excellent customer services for high-volume inbound provider calls for the Claims Inquiry/Claims Research team. * Conducting extensive claims research on multiple platforms to assist providers with payment questions. * Educating & assisting providers on our self-service options. * Assisting providers with credentialing and re-credentialing and contracting questions and issues. * Assisting in compiling claim data for customer audits. * Determining medical necessity, applicable coverage provisions, and verifying member plan eligibility relating to incoming correspondence and internal referrals. Required Qualifications * MUST live in the state of Oklahoma full-time. * Familiarity with Microsoft Office products. * Experience in highly transactional call center environment. * Excellent customer service and critical thinking. * High-speed internet access (25 mbps or higher) and consistent connection. * Work location must be set up with a direct connection to the router (NOT Wi-Fi). We provide a 6 ½ foot long ethernet cord, if the distance is further, you will be required to provide your own ethernet cable. Education * High School diploma or GED equivalent. Work Schedule * This position is work from home and you must live in the State of Oklahoma. * Must be able to attend 4 weeks of training (virtual) between the hours of 8-5 CST. * After training, the permanent schedule is an Monday-Friday and can start as early as 7 am CST and end as late as 7 pm CST. What We Offer * Competitive salary and benefits package. * Opportunity to work from home and enjoy a flexible schedule. * Comprehensive training program to ensure your success. * Collaborative and supportive team environment. * Opportunities for career growth and advancement. * Recognition and rewards for outstanding performance. How to Apply If you're a motivated and customer-focused individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at blithequark. Apply Now! Apply for this job