Experienced Concierge Customer Service Representative – Healthcare Industry Expert
Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a fast-paced, dynamic environment where no two interactions are ever the same? If so, we invite you to join blithequark as an Experienced Concierge Customer Service Representative, where you'll play a critical role in shaping the customer experience for our members and provider network.
About blithequark
At blithequark, we're dedicated to revolutionizing the healthcare industry by providing innovative solutions that empower individuals, families, and healthcare providers to achieve their best. Our team is comprised of passionate professionals who share a common goal: to make a meaningful difference in the lives of those we serve. As a remote-based organization, we offer the flexibility and autonomy to work from anywhere, while still being part of a collaborative and supportive team.
Job Summary
As an Experienced Concierge Customer Service Representative, you'll be the face of blithequark, providing exceptional customer service to our members and provider network. You'll be responsible for responding to telephone and email inquiries, negotiating with providers, and assisting members with benefits and healthcare questions. If you're a customer service expert with a strong background in healthcare, we encourage you to apply for this exciting opportunity.
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 and responsibilities as assigned by management
Requirements and Qualifications
* Education: Minimum HS Diploma/GED, 2 years college or higher education preferred
- Experience: One year Customer Service/Call Center experience in a healthcare-related role, with Medical Intake or Third-Party Administrator (TPA) experience preferred
- Language Skills: Bilingual English-Spanish a plus
- Skills and Competencies:
+ Patience and ability to handle difficult situations tactfully and diplomatically + Strong customer relations, interpersonal skills + Strong appreciation and ability to handle confidential & sensitive information + Proficient with Microsoft applications, strong computer skills and computer navigation + 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 + Takes initiative to resolve situations and to accomplish projects, actions, and tasks + Excellent verbal and written communication skills + Independent judgment in decision making and problem solving + Ability to multi-task and anticipate potential needs/problems + Ability to build relationships with internal and external customers + Medical Terminology + Strong attention to detail + Understanding of Self-Funded health benefits a plus + Claim processing skills a plus + Insurance verification or pre-certification a plus + Provider office/facility billing department or financial area + Strong analytical and research skills
Work Environment and Physical Demands
This position is in a typical home office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment.
Compensation and Benefits
* Salary range: $16 to $18 per hour
- Comprehensive benefits package, including medical, dental, and vision insurance
- 401(k) retirement plan with company match
- Paid time off and holidays
- Opportunities for professional growth and development
How to Apply
If you're a motivated and customer-focused individual with a passion for delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. 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 reflects the communities we serve. Apply for this job