Experienced Government Programs Customer Service Representative – Delivering Exceptional Support in a Fully Remote Environment at blithequark

Introduction to blithequark

At blithequark, we are dedicated to improving oral health through innovative benefit plans, advocacy, and community support. As one of the largest dental plan administrators in the country, we are part of a prestigious network that operates two of the largest dental networks in the nation. Our mission is to amplify the importance of oral health by investing in initiatives that build healthy, smart, and vibrant communities for all. We celebrate our "All In" culture, a mindset that embodies our commitment to taking charge of our careers, helping colleagues, and lending a hand in the community.

Job Summary

We are seeking highly skilled and experienced Government Programs Customer Service Representatives to join our team in a fully remote capacity. As a key member of our customer service team, you will be responsible for promptly and professionally responding to member, client, and provider questions through multiple channels, including telephone, email, fax, and U.S. mail. Your exceptional communication skills, attention to detail, and ability to provide accurate and timely resolutions will be essential in delivering exceptional support to our customers.

Key Responsibilities

• Promptly and professionally respond to member, client, and provider questions through multiple channels, including telephone, email, fax, and U.S. mail.
• Clearly and accurately communicate all eligibility, benefit, claim status, and payment information related to caller's questions.
• Properly identify the reason(s) for the call and provide appropriate resolution to inquiries and complaints within specified timeframes and guidelines established by regulatory agencies or client contracts.
• Inform and assist callers with grievance and claims appeals processes, as necessary.
• Clearly, accurately, and thoroughly document information in the customer relationship management system to ensure all relevant details of the phone call are captured.
• Understand the importance of adhering to regulatory requirements and meet or exceed quality standards as required for the position.
• Meet or exceed call center metrics as required for the position and enter and adjust claims as required.

Essential Qualifications

To be successful in this role, you will need to possess the following essential qualifications:

• A high school diploma or equivalent, with an associate's degree in business administration or a related field preferred.
• Two years of customer service experience in a business environment that requires the use of a software application to assist customers, preferably in a call center assisting Medicare and/or Medicaid enrollees.
• Demonstrated knowledge of personal computers and software applications (including Windows) through previous experience and/or coursework.
• Successful completion of the customer service simulation assessment with a minimum score of 62 out of a possible 100 (assessment waived if candidate previously passed test while at blithequark or if previously held Customer Service Trainee, Customer Service Advisor, or Customer Service Associate position).
• Successful completion of the customer service multitasking and call logging assessment with a minimum score of 65 out of a possible 100.
• Successful completion of the customer service email composition assessment with a minimum score of 62 out of a possible 100.

Preferred Qualifications

While not required, the following preferred qualifications will be considered an asset:

• Previous experience working in a fully remote environment.
• Knowledge of dental benefits and insurance industry.
• Experience with customer relationship management systems.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.

Skills and Competencies

To excel in this role, you will need to possess the following skills and competencies:

• Strong communication and interpersonal skills.
• Ability to work in a fast-paced environment and prioritize multiple tasks.
• Excellent problem-solving and analytical skills.
• Strong attention to detail and ability to accurately document information.
• Ability to work independently and as part of a team.
• Strong knowledge of regulatory requirements and industry standards.

Career Growth Opportunities and Learning Benefits

At blithequark, we are committed to providing our employees with opportunities for career growth and development. As a Government Programs Customer Service Representative, you will have access to:

• Comprehensive training programs to enhance your skills and knowledge.
• Opportunities for advancement and career progression.
• A supportive and collaborative work environment that encourages innovation and creativity.
• Access to industry-leading technology and tools to support your work.

Work Environment and Company Culture

At blithequark, we pride ourselves on our "All In" culture, which embodies our commitment to taking charge of our careers, helping colleagues, and lending a hand in the community. As a fully remote employee, you will be part of a dynamic and supportive team that values diversity, equity, and inclusion. We offer a range of benefits and perks, including:

• Comprehensive benefits package, including medical, dental, and vision coverage.
• Short- and long-term disability, life insurance, and 401(k) savings plans.
• Flex spending accounts and tuition reimbursement or educational assistance.
• Annual incentive compensation based on annual business goals.
• Eight hours of paid volunteer time each year.
• Access to an on-staff health coach and personal trainer.
• Virtual lunchtime workouts hosted by the trainer and/or an on-site fitness center.

Compensation, Perks, and Benefits

We offer a competitive compensation package, including a comprehensive benefits package, annual incentive compensation, and a range of perks and benefits to support your well-being and career growth.

Conclusion

If you are a motivated and experienced customer service professional looking for a new challenge, we encourage you to apply for this exciting opportunity to join our team at blithequark. As a Government Programs Customer Service Representative, you will play a critical role in delivering exceptional support to our customers and contributing to the success of our organization. Don't miss out on this opportunity to take your career to the next level and be part of a dynamic and supportive team that values diversity, equity, and inclusion. Apply today to join our team and start your journey with blithequark!