Experienced Full Stack Healthcare Customer Service Advocate – Remote Healthcare Operations

Are you passionate about delivering exceptional customer service in the healthcare industry? Do you have a strong background in healthcare terminology and a keen eye for detail? If so, we invite you to join our dynamic team at blithequark as a Remote Healthcare Customer Service Advocate. As a valued member of our team, you will play a crucial role in taking member services calls, providing accurate and efficient information to our clients and members, and ensuring their satisfaction on calls.

About blithequark

blithequark is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. With a strong commitment to excellence, we strive to enhance engagement and satisfaction with plans members and providers. Our innovative workflow technology platform, JetStreamTM, helps our clients streamline their claims operations and improve overall care. As a mission-critical partner to over 70 health plans, we process millions of claims and related data elements annually.

Job Type and Schedule

This is a full-time, 100% remote position with a Monday-to-Friday schedule from 11:00am to 8:00pm EST (10:00am - 7:00pm CT). As a Remote Healthcare Customer Service Advocate, you will have the flexibility to work from the comfort of your own home, while still being an integral part of our team.

Key Responsibilities

As a Remote Healthcare Customer Service Advocate, your key responsibilities will include:

• Member and Provider Support: Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients.
• Application Processing: Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
• Data Entry and Management: Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
• Multitasking: Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
• Quality Assurance: Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
• Collaboration: Coordinate with other teams within blithequark, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
• Process Improvement: Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.

Job Description

As a Remote Healthcare Customer Service Advocate, you will be responsible for handling customer service inbound calls, providing information on the status of authorization requests, and maintaining a high level of professionalism and customer service in all interactions. You will also be responsible for addressing and managing re-direct requests, handling requests to re-fax authorization documents as needed, and accurately documenting call interactions and outcomes in the appropriate systems.

Lines of Business

You will be working with various lines of business, including General Membership, Health Plan Providers, and ETC.

Documentation and Compliance

You will be responsible for ensuring compliance with all relevant regulations and guidelines, accurately documenting call interactions and outcomes in the appropriate systems, and maintaining confidentiality and integrity of client data.

Qualifications

To be successful in this role, you will need to possess the following qualifications:

• Educational Background: High School Diploma or General Education Degree (GED) required.
• Technical Skills:

+ At least 2-4 years of experience in processing health insurance, customer service, call center, medical office, or other healthcare-related field. + Healthcare Medical Terminology. + Proficiency in Microsoft Office Suite (Word, Excel, Outlook). + Experience with CRM systems or membership databases. + Strong typing and data entry skills, with the ability to manage multiple systems simultaneously.

• Other Qualifications:

+ Attention to Detail: Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency. + Multitasking Ability: Proven track record of effectively managing multiple tasks and priorities in a busy work environment. + Communication Skills: Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members. + Problem-Solving Skills: Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively. + Customer Service Orientation: A passion for delivering exceptional service to clients and their members, aligning with blithequark's commitment to excellence.

Work from Home Requirements

To ensure the success of our remote team, we require the following:

• High Speed Internet of 25MBPS download and 5MBPS upload.
• You will be required to provide proof of a speed test.
• Ability to directly hardwire equipment to your modem.
• Required to have a quiet dedicated work area.

What We Offer

As a valued member of our team, you will enjoy the following benefits:

• Paid training period.
• Medical, Dental, Life, Vision, HSA, 401K.
• Paid Holidays.
• PTO.
• Equipment provided.

Equal Employment Opportunity

blithequark is an equal employment opportunity employer and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

How to Apply

If you are passionate about delivering exceptional customer service in the healthcare industry and possess the required qualifications, we invite you to apply for this exciting opportunity. Please visit our website at [www.blithequark.com](http://www.blithequark.com) to learn more about our company and submit your application. Apply for this job