Experienced Customer Service Representative - Remote Opportunity with Competitive Compensation

Join blithequark and Make a Difference in the Healthcare Industry

At blithequark, we're driven by a singular, clear purpose: Carrying our heart to each moment of your wellbeing. Our mission is to deliver enhanced human-driven medical care in a rapidly evolving world. We're committed to making healthcare more personal, convenient, and affordable. As a Customer Service Representative at blithequark, you'll play a vital role in shaping the member experience and driving our mission forward.

About the Role

We're seeking an experienced Customer Service Representative to join our team on a full-time basis. As the face of blithequark, you'll be responsible for handling customer inquiries and resolving issues via phone, web, or written correspondence. Your exceptional communication skills, empathy, and problem-solving abilities will enable you to provide personalized support to our members, suppliers, and plan sponsors.

Key Responsibilities

• Respond to questions and resolve issues from members, suppliers, and plan sponsors in a timely and professional manner.
• Engage with members to understand their unique needs, preferences, and understanding of blithequark plans, tools, and resources.
• Guide members through their plan benefits, blithequark policies, and procedures, ensuring compliance with regulatory guidelines.
• Utilize customer service skills to make emotional connections with members, building trust and supporting their overall wellbeing.
• Process claim references, new case handoffs, nurture reviews, complaints, and requests via our target system.
• Educate suppliers on our self-service options and assist with credentialing and re-credentialing issues.
• Respond to demands from blithequark's Regulation Record Place regarding litigation and claims.
• Determine clinical needs, relevant coverage policies, and verify member plan eligibility.
• Handle incoming requests for appeals and pre-approvals not managed by Clinical Case Management.
• Perform review of member claim history to ensure accurate tracking of benefit maximums and coinsurance/deductible.
• Provide financial data support as needed.
• Utilize relevant system tools and resources to generate quality letters and calculation sheets.

Essential Qualifications

To succeed in this role, you'll need:

• A Bachelor's degree from an accredited institution.
• Customer service experience in a transaction-based environment, such as a call center or retail store.
• Excellent communication and interpersonal skills, with the ability to be empathetic and compassionate.
• Strong problem-solving and analytical skills.
• Proficiency in Microsoft Word and Outlook.
• Ability to multitask and maintain accuracy and production standards.
• Technical skills and attention to detail.

Preferred Qualifications

While not required, the following qualifications will give you a competitive edge:

• Experience in a production environment.
• Knowledge of medical terminology.
• Previous experience in a healthcare or insurance setting.

What We Offer

At blithequark, we're committed to supporting the wellbeing of our employees and their families. Our comprehensive benefits package includes:

• Competitive compensation ($30-$41/hour).
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan and Employee Stock Purchase Plan.
• Term life insurance, short-term and long-term disability benefits.
• Wellness programs, education assistance, and free improvement courses.
• CVS store discount and rebate programs with participating partners.
• Paid time off (PTO) and holidays.

Career Growth and Development

At blithequark, we're dedicated to helping our employees grow and develop in their careers. As a Customer Service Representative, you'll have opportunities to:

• Develop your skills and expertise in a dynamic and supportive environment.
• Take on new challenges and responsibilities as you progress in your role.
• Participate in training and development programs to enhance your knowledge and performance.

Our Culture

At blithequark, we pride ourselves on our Heart At Work Behaviors, which guide our commitment to delivering exceptional service and support to our members. Our culture is built on the principles of:

• Putting our heart into everything we do.
• Fostering a culture of empathy and compassion.
• Embracing diversity and inclusion.
• Driving innovation and excellence.

Why Join blithequark?

If you're passionate about delivering exceptional customer service and making a difference in the healthcare industry, we want to hear from you. At blithequark, you'll have the opportunity to:

• Join a dynamic and growing organization with a clear purpose and mission.
• Work with a talented team of professionals who share your values and commitment to excellence.
• Develop your skills and expertise in a supportive and inclusive environment.
• Make a meaningful impact on the lives of our members and their families.

If you're ready to take your career to the next level and join a team that truly cares, apply now to become a Customer Service Representative at blithequark.

Frequently Asked Interview Questions

To help you prepare for your interview, here are some common questions and tips:

• Tell me about yourself. Keep your response brief and relevant to the role.
• What is your strength? Focus on the qualities related to the job and provide examples.
• What is your weakness? Choose a weakness that's not relevant to the job and explain how you're working to improve.
• Why do you want to work for this organization? Research the company and highlight what you like about it.
• What is your salary expectation? Research the average salary for the position and provide a range you're comfortable with.
• How do you handle conflicts with colleagues? Explain that you try to resolve conflicts professionally and provide examples.
• What motivates you? Discuss what motivates you and drives you to succeed.
• Can you give an example of a time you exceeded expectations for a customer or colleague? Highlight a time when you demonstrated excellent customer service or teamwork.

We look forward to hearing from you and discussing this opportunity further.