Experienced Healthcare Customer Service Representative – Remote Opportunity at blithequark

Are you passionate about delivering exceptional customer service and making a positive impact on people's lives? Do you have a strong background in healthcare customer service and a knack for handling complex calls with empathy and professionalism? If so, we invite you to join blithequark, a leading professional services company, as a Healthcare Customer Service Representative in a remote setting.

About blithequark

blithequark is one of the world's leading professional services companies, helping our clients modernize technology, reinvent processes, and transform experiences to stay ahead in our constantly evolving world. With a strong commitment to innovation and customer satisfaction, we strive to create a better future for our clients, employees, and communities.

Job Summary

As a Healthcare Customer Service Representative at blithequark, you will be responsible for providing exceptional customer service to members of a Medicare Advantage plan. You will be the primary point of contact for members, handling inbound calls, resolving issues, and escalating concerns to the next level when necessary. Your strong communication skills, empathy, and dedication to active listening will make a significant difference in the lives of our members.

Responsibilities

* Provide excellent customer service to members of a Medicare Advantage plan, ensuring a positive and personalized experience.

• Manage a senior population by exhibiting a strong dedication to showing empathy and using active listening skills to hear members and their concerns.
• Document calls appropriately to reflect each interaction with the members, maintaining accurate and up-to-date records.
• Meet and exceed contact center targets for call management, quality, and adherence to schedule, demonstrating a commitment to excellence.
• Manage all calls with professionalism, escalating calls when necessary to the next level, and ensuring seamless communication with internal stakeholders.
• Collaborate with internal teams to resolve complex issues, provide solutions, and improve overall member satisfaction.

Operational Hours and Work-Life Balance

Our operational hours are Monday through Friday, 8am-8pm EST, with varying shifts available within these hours. During open enrollment, our operation hours will change to include weekends as part of the work shift. We understand the importance of work-life balance and offer flexible scheduling to accommodate your needs.

Qualifications

* 1-2 years of experience in health insurance/Medicare/Medicaid customer service, with a strong background in handling complex calls.

• 1 year of customer service experience in a call center environment, with proficiency in using QNXT.
• Member Service knowledge, HIPAA, Claims, and Provider Services knowledge, with a strong understanding of healthcare regulations.
• High School graduate or GED; 2-4 years undergraduate degree or certificate is a plus.
• Excellent written and oral communication skills, with the ability to articulate complex information in a clear and concise manner.
• Experience in using dual monitors, multiple applications, and phone simultaneously, with strong keyboard skills and accuracy in data entry.

Essential Skills and Competencies

* Strong communication and interpersonal skills, with the ability to build rapport with members and internal stakeholders.

• Excellent problem-solving and critical thinking skills, with the ability to analyze complex issues and provide effective solutions.
• Strong organizational and time management skills, with the ability to prioritize tasks and meet deadlines.
• Ability to work in a fast-paced environment, with a strong commitment to quality and customer satisfaction.
• Strong technical skills, with proficiency in using QNXT and other relevant software applications.

Career Growth Opportunities and Learning Benefits

At blithequark, we believe in investing in our employees' growth and development. As a Healthcare Customer Service Representative, you will have opportunities to:

• Develop your skills and knowledge in healthcare customer service, with access to training programs and workshops.
• Collaborate with internal teams to resolve complex issues and improve overall member satisfaction.
• Participate in performance-based incentives and recognition programs, with opportunities for career advancement.
• Enjoy a dynamic and supportive work environment, with a strong focus on work-life balance and employee well-being.

Work Environment and Company Culture

blithequark is committed to creating a positive and inclusive work environment, where employees feel valued, respected, and empowered to succeed. Our company culture is built on a strong foundation of innovation, collaboration, and customer satisfaction. As a remote employee, you will have the flexibility to work from home, with access to virtual collaboration tools and regular check-ins with your team.

Compensation and Benefits

* Hourly rate: $18.00 - $20.00 per hour, depending on experience and other qualifications.

• Eligibility for blithequark's discretionary annual incentive program, based on performance and subject to the terms of blithequark's applicable plans.
• Comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.

How to Apply

If you are a motivated and customer-focused individual with a passion for healthcare customer service, we invite you to apply for this exciting opportunity at blithequark. Please submit your application by January 18, 2025, and join our team of dedicated professionals who are making a difference in the lives of our members. Apply Now! Apply for this job