Experienced Customer Service Representative – Remote Call Center Support

At blithequark, we're dedicated to delivering exceptional customer experiences that exceed expectations. As a key member of our remote call center team, you'll play a vital role in providing top-notch support to our customers, including providers, members, and internal departments. If you're passionate about delivering outstanding service, have a knack for problem-solving, and thrive in a fast-paced environment, we want to hear from you! About blithequarkblithequark is a non-profit healthcare organization committed to improving the lives of our members and providers.We're driven by a passion for innovation, a commitment to excellence, and a dedication to making a positive impact in our community. Our team is comprised of talented individuals who share our vision and values, and we're excited to welcome like-minded professionals to our team. Job SummaryAs an Experienced Customer Service Representative, you'll be responsible for providing exceptional support to our customers through phone, email, and other communication channels. You'll be the face of blithequark, representing our organization and values to our customers, and ensuring that their needs are met with professionalism, empathy, and expertise.If you're a customer service rockstar with a passion for delivering outstanding experiences, we want to hear from you! Key Responsibilities* Answer incoming calls, demonstrating a customer-focused philosophy for all customers, including providers, members, potential members, state agencies, and internal departments* Explain existing policies, procedures, and benefits to members, providers, and internal departments* Research, resolve, and document customer inquiries, concerns, and issues, providing accurate information and education for all inquiries* Conduct outgoing calls to customers for follow-up, benefit information, member and provider retention, claims, and other inquiries as needed* Utilize resource materials, policies, and procedures, handouts, databases, training opportunities, and multiple systems to help with day-to-day activity* Provide clear and thorough documentation into our CRM tool for each call received* Maintain strict confidentiality of member, provider, clinical, and organizational information* Communicate clearly and effectively with all internal departments and staff, as well as members, providers, state agencies, and other external contacts* Work closely with all departments and multidisciplinary teams in support of company goals related to development and implementation of new lines of business, increased enrollment, and compliance with state and federal regulations and NCQA requirements* Assist with departmental projects as necessary and directed by the Customer Service management team* Perform other duties as assigned in between calls or during slow periodsEssential Qualifications* 1-2 years of customer service experience* Ability to work in a call center environment and answer inquiries in a professional manner* Strong bolthires Office skills* High School diploma or equivalent required* Medical insurance (Medicare and Medicaid) eligibility/enrollment (highly preferred)* Ability to identify and appropriately handle grievances and appeals, and to facilitate quality of outcomes and/or resolutions for the benefit of all applicable parties* Demonstrates support for the client's mission, vision, and values* Strong written and verbal communication skills, problem-solving skills, attention to detail, organizational, and time management skills, and ability to handle multiple prioritiesPreferred Qualifications* 1-2 years of call center experience* Customer service experience in the healthcare industry (highly preferred)* Strong knowledge of medical insurance (Medicare and Medicaid) eligibility/enrollment* Experience with CRM software and other customer service toolsWhat We Offer* Competitive hourly rate: $19-$24 per hour, depending on experience* Opportunity to work with a dynamic and growing organization* Remote work environment with flexible scheduling* Comprehensive benefits package, including:+ Dental insurance+ Health insurance+ Vision insurance* Ongoing training and development opportunities to enhance your skills and career growth* Collaborative and supportive team environment* Recognition and rewards for outstanding performance and contributions to the teamIf you're a motivated and customer-focused professional looking for a new challenge, we encourage you to apply for this exciting opportunity.Please submit your resume and a cover letter outlining your experience, qualifications, and why you're the perfect fit for this role. We can't wait to hear from you! Equal Employment Opportunityblithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion. Contact UsIf you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us.We look forward to hearing from you! !