Experienced Full Stack 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 dynamic, mission-driven environment where innovation and collaboration come together to transform the healthcare industry? If so, we invite you to join the team at blithequark, a leading healthcare organization dedicated to bringing our heart to every moment of your health. At blithequark, we're not just a company – we're a community of passionate individuals who share a single, clear purpose: to deliver enhanced human-centric healthcare for a rapidly changing world. Our Heart At Work Behaviors support this purpose, empowering every team member to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make healthcare more personal, convenient, and affordable. As a Member Service Representative at blithequark, you'll play a vital role in providing telephone assistance to Aetna Medicaid members and providers. You'll be the face of our organization, helping to resolve inquiries, address concerns, and provide exceptional customer experiences that exceed expectations. If you're a customer-focused, tech-savvy, and empathetic individual who is passionate about making a difference, we encourage you to apply for this exciting opportunity. Responsibilities: * Answer in-coming member and provider calls and respond to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc. * Utilize high-speed internet connectivity with secure service via ethernet cable, as Wi-Fi is not permitted. * Collaborate with our team to provide comprehensive support and resolve complex issues. * Participate in ongoing training and development to enhance your skills and knowledge. * Work from home, with occasional commutes to our office in Charleston, WV when necessary. Requirements: * High school diploma or equivalent required; Bachelor's degree a plus. * Excellent verbal and written communication skills, with the ability to connect with customers and understand their needs. * Strong critical thinking and creative problem-solving abilities, with a passion for delivering top-notch customer service. * Proficiency in using computer systems and software, with a focus on customer relationship management (CRM) tools. * Ability to work independently and as part of a team, with a strong commitment to meeting performance standards, attendance requirements, and call quality goals. * Must be able to commute to the office in Charleston, WV when unable to work from home due to prolonged technical problems. Preferred Qualifications: * Experience working remotely in a call center setting. * Familiarity with Medicaid and Medicare, with a strong understanding of the healthcare industry. * Strong analytical and problem-solving skills, with the ability to think critically and creatively. What We Offer: * Work from Home: Enjoy the flexibility of working from the comfort of your home, with the opportunity to balance work and personal life. * Career Development: Opportunities for advancement within blithequark, with a focus on professional growth and development. * Company Impact: Be part of a mission-driven organization that is transforming the healthcare industry. * Competitive Pay: Competitive hourly rates, with a focus on recognizing and rewarding your hard work and dedication. * Employee Discounts: Enjoy discounts on blithequark products and services, with a focus on supporting your well-being and financial stability. * Remote Training: Comprehensive training to set you up for success, with a focus on developing your skills and knowledge. Our Company Culture: At blithequark, we value diversity and encourage individuals from all backgrounds to apply. We're committed to creating an inclusive and supportive work environment that fosters growth, innovation, and collaboration. Our team is passionate about making a difference in the lives of others, and we're excited to welcome like-minded individuals who share our purpose and values. : If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please visit our website to learn more about our company culture, benefits, and career development opportunities. We look forward to hearing from you!