Concierge Customer Service Representative – Remote Opportunity at blithequark

Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a fast-paced environment where no two interactions are ever the same? If so, we invite you to join our team at blithequark as a Concierge Customer Service Representative. In this critical role, you will be the face of our organization, providing top-notch support to our clients and their members. If you're ready to take your career to the next level and make a meaningful impact, we want to hear from you.

About blithequark

At blithequark, we're a community of passionate, driven individuals who thrive on innovation and collaboration. For over 35 years, we've partnered with clients to develop innovative and effective solutions to address their needs. By mitigating risk within the plan population and focusing on quality care and improved outcomes, we reduce healthcare expenditures for the plan and plan member. Our commitment to excellence has earned us a reputation as a trusted leader in the industry, and we're excited to continue growing and evolving with the needs of our clients.

Job Summary

As a Concierge Customer Service Representative at blithequark, you will be responsible for providing exceptional customer service to our clients and their members. You will respond to telephone and email inquiries, negotiate with providers, and assist members with benefits and healthcare questions. Your strong communication skills, attention to detail, and ability to multitask will be essential in delivering a high level of service and support.

Key Responsibilities

* Respond to telephone and email inquiries received from members and providers within defined service standards

• Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
• Assist members with benefits and healthcare questions
• Document all calls received in system-based call log
• Perform other duties as assigned by management

Requirements and Qualifications

* High School Diploma or equivalent required; 2 years of college or higher education preferred

• One year of customer service or call center experience in a healthcare-related role
• Medical intake or third-party administrator (TPA) experience preferred
• Bilingual English-Spanish a plus
• Strong customer relations, interpersonal skills, and ability to handle confidential and sensitive information
• Proficient with Microsoft applications and strong computer skills
• Excellent data entry and typing skills
• Knowledge of provider organizations and networks
• Knowledge and understanding of CMS Medicare reimbursement rates
• Ability to effectively negotiate rate structures
• Independent judgment in decision making and problem solving
• Ability to multi-task and anticipate potential needs/problems
• Medical terminology and strong analytical and research skills
• Understanding of Self-Funded health benefits a plus
• Claim processing skills a plus
• Insurance verification or pre-certification a plus

Work Environment and Physical Demands

This position is in a typical office/home office environment, requiring prolonged sitting in front of a computer. You will need hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including standard computer and phone equipment.

Compensation and Benefits

We offer competitive compensation and a comprehensive benefits package, including:

• Paid Time Off
• Medical, Dental, Vision
• Short and Long-Term Disability
• Life Insurance
• AD&D
• 401k with match
• Critical illness coverage
• Discount programs

What We Offer

At blithequark, we're committed to providing a supportive and inclusive work environment that fosters growth and development. As a Concierge Customer Service Representative, you will have the opportunity to:

• Work in a dynamic and fast-paced environment
• Develop your skills and expertise in customer service and healthcare
• Collaborate with a talented team of professionals
• Make a meaningful impact on the lives of our clients and their members
• Enjoy a comprehensive benefits package and competitive compensation

How to Apply

If you're a motivated and customer-focused individual with a passion for delivering exceptional experiences, we invite you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your qualifications and experience. We can't wait to hear from you!

Equal Opportunity Employer

blithequark is an Equal Opportunity Employer, including disability/veterans. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees. Apply for this job