Experienced Customer Service Representative – Medicare Appeal Process Support

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry? Do you thrive in a dynamic, fast-paced environment where no two days are the same? If so, we invite you to join blithequark, a pioneering healthcare technology and services company dedicated to empowering better health outcomes through innovation and expertise. As a Customer Service Representative at blithequark, you will play a vital role in supporting the Medicare Appeal process, providing top-notch service to our customers, and contributing to the company's mission to redefine expectations for the healthcare industry. With a strong focus on employee growth and development, we offer unparalleled opportunities for career advancement and professional fulfillment.

About blithequark

blithequark exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. As a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals, we come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

Job Summary

We are seeking an experienced Customer Service Representative to join our growing team. As a key member of our customer support team, you will be responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests, and adhering to internal policies and procedures. This is a remote position, offering the flexibility to work from the comfort of your own home.

Key Responsibilities

* Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational)

• Utilizes automated systems to log and retrieve information, performs accurate and timely data entry of electronic faxes
• Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times
• Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures
• Interacts with hospitals, physicians, beneficiaries, or other program recipients
• Investigates and resolves or reports customer problems, identifies and escalates difficult situations to the appropriate party
• Meets or exceeds standards for call volume and service level per department guidelines
• Initiates files by collecting and entering demographic, provider, and procedure information into the system
• Serves as liaison between the Review Supervisors and external providers
• Maintains logs and documents disposition of incoming and outgoing calls

Requirements

* High School diploma or equivalent

• 2+ year's customer service/telephone experience in a similar call center environment and/or industry
• Ability to effectively communicate with team members and external customers
• Ability to research and resolve issues related to Medicaid program and service eligibility
• Bilingual (Spanish/English)

Preferred Qualifications/Experience

* Previous experience in the medical office or other medical setting

• General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus)
• Knowledge of CPT and HCPCS codes
• PC proficiency to include Microsoft Office Suite
• Experience with Microsoft programs

Benefits

At blithequark, we believe that our employees are our greatest asset. That's why we offer a comprehensive benefits package designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include:

• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts
• And more!

Compensation

The pay range for this position is $15.85 - $18.20. Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

Why Join blithequark?

We are a team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

How to Apply

If you are a motivated and customer-focused individual who is passionate about making a difference in the healthcare industry, we invite you to apply for this exciting opportunity. Please visit our website at blithequark.com/careers/ to submit your application. We look forward to hearing from you!

Equal Opportunity Employer

blithequark is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Apply for this job