**Remote Healthcare Customer Service Advocate - South Carolina at blithequark**

Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you thrive in a fast-paced, dynamic environment where no two days are ever the same? If so, we invite you to join our team at blithequark as a Remote Healthcare Customer Service Advocate! At blithequark, we're committed to revolutionizing the healthcare industry through innovative solutions and exceptional customer service. As a Remote Healthcare Customer Service Advocate, you'll play a vital role in taking member services calls, providing accurate and efficient information, and ensuring the satisfaction of our clients and members. With a solid understanding of healthcare claims, benefits, and policy process flows, you'll be the go-to expert for all things healthcare-related. **What We Offer:** * A comprehensive paid training period to ensure your success in this role * A competitive hourly rate of $16.00 - $18.00 per hour, depending on experience * A comprehensive benefits package, including medical, dental, life, vision, HSA, and 401K * Paid holidays and PTO to help you recharge and refocus * State-of-the-art equipment provided to support your work-from-home setup * Opportunities for career growth and professional development in a dynamic and supportive environment **Key Responsibilities:** * Member and Provider Support: Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients. * Application Processing: Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information. * Data Entry and Management: Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts. * Multitasking: Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality. * Quality Assurance: Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies. * Collaboration: Coordinate with other teams within blithequark, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients. * Process Improvement: Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency. **Job Description:** As a Remote Healthcare Customer Service Advocate, you'll be responsible for handling customer service inbound calls, providing information on the status of authorization requests, and maintaining a high level of professionalism and customer service in all interactions. You'll also be responsible for addressing and managing re-direct requests, handling requests to re-fax authorization documents as needed, and accurately documenting call interactions and outcomes in the appropriate systems. **Lines of Business:** * General Membership * Health Plan Providers * ETC. **Documentation and Compliance:** * Accurately document call interactions and outcomes in the appropriate systems * Ensure compliance with all relevant regulations and guidelines **Qualifications:** * Educational Background: High School Diploma or General Education Degree (GED) required * Technical Skills: + At least one 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field + Healthcare Medical Terminology + Proficiency in Microsoft Office Suite (Word, Excel, Outlook) + Experience with CRM systems or membership databases + Strong typing and data entry skills, with the ability to manage multiple systems simultaneously + Must be able to clear a background check **Other Qualifications:** * Attention to Detail: Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency * Multitasking Ability: Proven track record of effectively managing multiple tasks and priorities in a busy work environment * Communication Skills: Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members * Problem-Solving Skills: Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively * Customer Service Orientation: A passion for delivering exceptional service to clients and their members, aligning with blithequark's commitment to excellence **Work from Home Requirements:** * High Speed Internet of 25MBPS download and 5MBPS upload * You will be required to provide proof of a speed test * Ability to directly hardwire equipment to your modem * Required to have a quiet dedicated work area **About blithequark:** blithequark is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. We provide claims processing services, including digital transformation, claims adjudication, and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers. With a strong commitment to innovation and customer service, we're dedicated to revolutionizing the healthcare industry through cutting-edge solutions and exceptional support. Join our team today and be a part of something big! **Equal Employment Opportunity:** blithequark provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. **Apply Now:** Ready to take the next step in your career and join our team at blithequark? Apply now and become a part of our dynamic and supportive team! Apply for this job