Experienced Remote Healthcare Customer Service Representative – Delivering Compassionate Care to Patients Across the United States

At blithequark, we're on a mission to revolutionize the way healthcare services are delivered, and we're looking for talented individuals to join our team of dedicated professionals. As a Remote Healthcare Customer Service Representative, you'll play a vital role in providing exceptional support to our clients' members or customers, ensuring they receive the care and attention they deserve.

About blithequark

blithequark is a leading provider of innovative healthcare solutions, committed to improving the lives of millions of people across the United States. Our team of passionate professionals is driven by a shared vision of delivering exceptional patient care, and we're seeking like-minded individuals to join our ranks.

The Opportunity

We're excited to announce an aggressive hiring campaign, with recruiters on standby to interview candidates anytime between 9:00 am to 6:00 pm Eastern Standard Time (and beyond!). If you're a customer service rockstar with a passion for healthcare, we want to hear from you!

Job Summary

As a Remote Healthcare Customer Service Representative, you'll be responsible for providing top-notch support to our clients' members or customers, answering inbound phone calls, and resolving a range of queries and issues. You'll work from the comfort of your own home, enjoying a flexible and autonomous work environment.

Responsibilities

* Perform PCP Change/Provider Lookup to ensure seamless transitions for our clients' members or customers

• Look up Medical Benefits, including benefit maximums, copay/coinsurances, Prior Authorization pre-requisites, and coverage to provide accurate information and support
• Review Ancillary Benefits, such as Dental, Vision, Over the Counter, and other services to ensure our clients' members or customers receive the care they need
• Process claims inquiries, including resolving billing issues and answering questions about services and procedures
• Answer enrollment/disenrollment inquiries, providing clear guidance and support to our clients' members or customers
• Address Grievances/Complaints in a compassionate and empathetic manner, ensuring our clients' members or customers feel heard and valued
• Perform billing tasks, including making payments, reviewing transaction history, and answering premium inquiries
• Manage LEP (Limited English Proficiency) inquiries and disputes, providing support and guidance to our clients' members or customers who require language assistance
• Assist with material requests, such as ID cards, Large/Brail print materials, and Catalogs, to ensure our clients' members or customers receive the resources they need
• Provide self-help options, such as member portal access, to empower our clients' members or customers to take control of their healthcare
• Offer local locations for pharmacies, OTC, and Specialist services, ensuring our clients' members or customers have access to the care they need

Experience Required for Success

To excel in this role, you'll need:

• At least a High School diploma or equivalent
• Minimum of 18 months Call center experience, with a proven track record of delivering exceptional customer service
• Healthcare background a plus, but not required
• Minimum of 2 years Computer Experience in a work environment, with a strong understanding of software applications and systems
• Ability to multi-task, prioritize tasks, and manage competing demands
• Strong written and oral communication skills, with the ability to articulate complex information in a clear and concise manner
• Ability to display empathy and care, providing a compassionate and supportive experience for our clients' members or customers
• Dedicated area to work from in your home, with a reliable internet connection and a quiet workspace
• Internet speed requirement of 50 Mb/s for download speeds and 10 Mb/s for upload speeds (Wired access only, please)

What We Offer

As a Remote Healthcare Customer Service Representative at blithequark, you'll enjoy a range of benefits, including:

• Competitive hourly rate of up to $13.25/hr in training, and $14.25/hr in production
• Comprehensive medical, dental, vision, and 401K benefits to support your physical and financial well-being
• Earned PTO, allowing you to take time off when you need it most
• Opportunity to work from the comfort of your own home, enjoying a flexible and autonomous work environment
• Career growth opportunities and learning benefits, with ongoing training and development to help you succeed

How to Apply

If you're a customer service superstar with a passion for healthcare, we want to hear from you! Apply now to join our team of dedicated professionals at blithequark. Apply for this job