Experienced Health Customer Service Representative – Blithequark's Growing Team

Are you passionate about delivering exceptional customer service and making a positive impact on people's lives? Do you thrive in a dynamic, team-oriented environment where you can grow and develop your skills? Look no further than Blithequark, a leading company in the healthcare industry that values its employees and provides opportunities for advancement. As a Health Customer Service Representative at Blithequark, you will be the face of our company, interacting with plan participants, client contacts, and providers to provide top-notch customer service and support. We are seeking a highly motivated and customer-focused individual to join our team, and we offer a comprehensive training program to ensure your success.

About Blithequark

Blithequark is a growing company with a strong reputation for delivering exceptional customer service and innovative solutions in the healthcare industry. Our team is dedicated to making a positive impact on people's lives, and we are committed to creating a work environment that is supportive, inclusive, and empowering.

Position Responsibilities

As a Health Customer Service Representative, you will be responsible for:

• Answering telephone inquiries from plan participants, client contacts, and providers regarding self-funded and partially self-funded group health benefits and/or the fully insured product
• Providing clear and accurate responses to requests for information
• Documenting all calls into Chronolog (by typing in highlights of the conversation) for future referral
• Returning messages left in designated voice mailboxes
• Reading and interpreting plan documents for numerous clients, reviewing new documents and amendments as added
• Meeting personally with clients as necessary to assist with questions pertaining to their health benefit plan
• Assisting team members as requested
• Logging faxed claims (type information faxes received in Chronolog)
• Returning misdirected claims to appropriate provider as received
• Assisting members with website
• Meeting or exceeding company standards for production and quality
• Contributing to the daily workflow with regular and punctual attendance
• Assisting with claim information research and identification
• Assisting with provider record maintenance as assigned
• Indexing claim and correspondence batches as assigned
• Performing assigned duties for specific client groups as needed
• Assisting with employee training and cross-training as needed
• Researching and writing up refunds as assigned
• Performing related or other assigned duties as required or directed

Essential Job Functions

To perform this job successfully, you must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Answer telephone calls from plan participants, group contacts, and providers pertaining to benefits and claims inquiries
• Provide clear and accurate responses to requests for information
• Document all calls into Chronolog (by typing in highlights of the conversation) for future referral
• Return messages left in designated voice mailboxes
• Read and interpret plan documents for numerous clients, review new documents and amendments as added
• Meet personally with clients as necessary to assist with questions pertaining to their health benefit plan
• Assist team members as requested
• Log faxed claims (type information faxes received in Chronolog)
• Return misdirected claims to appropriate provider as received
• Assist members with website
• Meet or exceed company standards for production and quality
• Contribute to the daily workflow with regular and punctual attendance
• Assist with claim information research and identification
• Assist with provider record maintenance as assigned
• Index claim and correspondence batches as assigned
• Perform assigned duties for specific client groups as needed
• Assist with employee training and cross-training as needed
• Research and write up refunds as assigned

Quality Assurance Measurements

* Meet or exceed company standards for production and quality and assurance audit

Non-Essential Job Functions

* Perform related or other assigned duties as required or directed

Supervision Exercised

None

Physical Working Conditions

Physical requirements are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Sitting 90%
• Reaching Some
• Standing 5%
• Manual Dexterity High
• Walking 5%
• Telephone Yes
• Kneeling Some
• Computer Screen High (visual acuity corrected to 20/30)
• Bending Some
• Lifting up to 30 pounds
• Typing 95%

Job Specifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Minimum Education: High school graduation or GED required. College degree and/or training in medical terminology preferred.
• Certification(s) Required: Upon hire, complete the ICSA customer service certification provided through the company.
• Minimum Experience: Basic computer and customer service experience required.
• Other Qualifications:

+ Excellent oral and written communication skills required. + PC skills, including Windows, Word and Adobe Acrobat. Must be able to adapt to software changes as they occur. + Typing ability of 45 wpm net. + Knowledge of medical terminology and basic health insurance concepts. + Excellent listening skills. + Basic mathematical skills. + High level of interpersonal skills to work effectively with others. + Ability to organize and recall large amounts of detailed information. + Ability to read, analyze and interpret benefit summary plan descriptions, insurance documents and regulations. + Ability to project a professional image and positive attitude in any work environment. + Ability to comply with privacy and confidentiality standards. + Ability to be flexible, work under pressure and meet deadlines. + Ability to analyze and solve problems with professionalism and patience. + Ability to operate typical office equipment. + Working knowledge of general office procedures.

Work Environment and Company Culture

Blithequark is committed to creating a work environment that is supportive, inclusive, and empowering. We offer a comprehensive training program to ensure your success and provide opportunities for advancement. Our team is dedicated to making a positive impact on people's lives, and we are passionate about delivering exceptional customer service.

Compensation, Perks, and Benefits

Blithequark offers a competitive compensation package, including:

• Full-time positions with evenings, weekends, and holidays off
• Multi-faceted benefits package
• Comprehensive training program
• Opportunities for advancement
• Collaborative and supportive work environment

How to Apply

If you are a motivated and customer-focused individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we will review your qualifications and experience.

Equal Opportunity Employer

Blithequark is an Equal Opportunity Employer. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. We look forward to hearing from you and exploring how you can join our team at Blithequark! Apply for this job