Experienced Customer Service Representative – Medicaid and Medicare Support

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? If so, we invite you to join our team of dedicated professionals at blithequark, where we're committed to revolutionizing the way healthcare is delivered. As a Member Service Representative at blithequark, you'll play a vital role in providing top-notch support to Aetna Medicaid members and providers, helping them navigate the complexities of their benefits and services. With a strong focus on customer satisfaction, you'll be empowered to make a real difference in the lives of those we serve.

About blithequark

At blithequark, we're more than just a healthcare company – we're a community of passionate individuals driven by a shared purpose: to bring our heart to every moment of your health. Our Heart At Work Behaviors support this purpose, guiding our actions and decisions every step of the way. We believe that how we deliver our services is just as important as what we deliver, and we're committed to creating a culture that's inclusive, supportive, and empowering.

Responsibilities

As a Member Service Representative, your key responsibilities will include:

• Answering incoming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc.
• Providing accurate and timely information to ensure a positive customer experience
• Resolving complex issues and escalating concerns to senior representatives as needed
• Maintaining accurate records and documentation of customer interactions
• Collaborating with internal teams to ensure seamless communication and resolution of customer issues
• Participating in ongoing training and development to enhance skills and knowledge

Requirements

To succeed in this role, you'll need:

• High school diploma or equivalent
• Ability to communicate effectively with members and providers orally and in written form
• Strong customer service skills, with a focus on empathy, active listening, and problem-solving
• Ability to work from home and prove self-sufficiency
• High-speed internet connectivity with secure service via ethernet cable (Wi-Fi is not permitted)
• Ability to meet performance standards, attendance requirements, and call quality goals

Preferred Qualifications

While not required, experience with working remotely in a call center setting and familiarity with Medicaid and Medicare would be a significant advantage.

Training and Development

As a new hire, you'll participate in a comprehensive training program that will equip you with the skills and knowledge needed to succeed in this role. Our training schedule includes:

• First 6 weeks: 8:30 AM - 5:00 PM EST, Monday through Friday
• Production schedule: 8:30 AM - 5:00 PM EST, Monday through Friday

Compensation and Benefits

We offer a competitive compensation package, including:

• Pay range: $17.00 - $27.90 per hour
• Comprehensive benefits, including medical, dental, and vision coverage
• 401(k) retirement savings plan and Employee Stock Purchase Plan
• Fully-paid term life insurance plan and short-term and long-term disability benefits
• Paid Time Off (PTO) and paid holidays throughout the calendar year
• CVS store discount and discount programs with participating partners

Work Environment and Culture

As a remote employee, you'll have the flexibility to work from the comfort of your own home, with access to all the resources and support you need to succeed. Our company culture is built on a foundation of inclusivity, respect, and empathy, and we're committed to creating a work environment that's welcoming and supportive of all employees.

How to Apply

If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others, we invite you to apply for this exciting opportunity. Please visit our website at [insert link] to learn more and submit your application.

Equal Employment Opportunity

blithequark is an equal opportunity employer, committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. We strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. If you require a reasonable accommodation, please contact us at [email protected]. Apply for this job