Experienced Concierge Customer Service Representative – Remote Opportunity at blithequark

Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a fast-paced environment where no two interactions are the same? Look no further than this exciting opportunity to join blithequark as a Concierge Customer Service Representative. In this critical role, you will be the face of our organization, providing top-notch support to our members and providers while navigating the complexities of the healthcare industry. About blithequarkblithequark is a leading provider of innovative solutions in the healthcare industry.Our team of experts is dedicated to delivering exceptional service and support to our members and partners. We are committed to fostering a culture of excellence, diversity, and inclusion, and we are seeking like-minded individuals to. Job SummaryAs a Concierge Customer Service Representative at blithequark, you will be responsible for providing exceptional customer service to our members and providers through various channels, including phone, email, and in-person interactions. You will be the primary point of contact for our members, responding to their inquiries, resolving issues, and providing guidance on benefits and healthcare-related matters.Your expertise in customer relations, medical terminology, and claim processing will be invaluable in this role. Key Responsibilities* Respond to telephone and email inquiries received from members and providers within defined service standards* Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers* Assist members with benefits and healthcare questions* Document all calls received in system-based call log* Perform other duties as assigned by managementRequirements and Qualifications* Education: Minimum HS Diploma/GED, 2 years college or higher education preferred* Experience: One year Customer Service/Call Center experience in a healthcare-related role, with a strong preference for Medical Intake or Third-Party Administrator (TPA) experience* Language Skills: Bilingual English-Spanish a plus* Skills and Competencies:+ Patience and ability to handle difficult situations tactfully and diplomatically+ Strong customer relations, interpersonal skills+ Strong appreciation and ability to handle confidential & sensitive information+ Proficient with bolthires applications, strong computer skills and computer navigation+ Excellent data entry and typing skills+ Knowledge of provider organizations and networks+ Knowledge and understanding of CMS Medicare reimbursement rates+ Ability to effectively negotiate rate structures+ Takes initiative to resolve situations and to accomplish projects actions and tasks+ Excellent verbal and written communication skills+ Independent judgment in decision making and problem solving+ Ability to multi-task & anticipate potential needs/problems+ Ability to build relationships with internal and external customers+ Medical Terminology+ Strong attention to detail+ Understanding of Self-Funded health benefits a plus+ Claim processing skills a plus+ Insurance verification or pre-certification a plus+ Provider office/facility billing department or financial area+ Strong analytical and research skillsWork Environment and Physical DemandsThis position is in a typical office/home office environment, requiring prolonged sitting in front of a computer.Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment. Compensation and BenefitsThe pay range for this position is $16.00 to $18.00. We offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off. Career Growth Opportunities and Learning BenefitsAt blithequark, we are committed to the growth and development of our employees. We offer a range of training programs, mentorship opportunities, and career advancement possibilities to help you achieve your career goals.Company CultureWe are proud of our inclusive and diverse work environment, where everyone is valued and respected. Our team is passionate about delivering exceptional service and support to our members and partners, and we are seeking like-minded individuals to. If you are a motivated and customer-focused individual with a passion for delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to. We look forward to hearing from you!Equal Opportunity Employerblithequark is an Equal Opportunity Employer, including disability/veterans. We are committed to fostering a culture of diversity, equity, and inclusion, and we welcome applications from diverse candidates. Note: Applicants must be authorized to work for any employer in the United States. We are unable to sponsor applicants for employment.