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Experienced Customer Service Representative - Healthcare Specialist (100% Remote, Michigan) at blithequark

Remote, USA Full-time Posted 2025-11-03

Transforming Customer Experience with blithequark

At blithequark, our vision is to be the leader in customer experience by connecting the right people with innovative solutions to deliver outstanding results. We empower and support our employees to reach unimaginable heights while growing our business to make a global impact. Our can-do culture works together to make the ordinary exceptional.

Are you an exceptional listener who aims higher and reaches farther when it comes to challenges and solving problems? Can you act bold and be passionate with your impressive communication skills, empathy, and care for each person you speak with? Do you want to be different, be you, and learn more, take action? Join our team at blithequark today and be part of a dynamic community that is shaping the future of customer experience!

Job Overview

We are seeking an experienced Customer Service - Healthcare Specialist to support US-based customers' healthcare benefits questions and concerns regarding their claims, deductibles, coverage, and more. As a Customer Service Representative at blithequark, you will be the frontline representative of our company, providing top-notch service to our clients and making a positive impact on their lives.

Key Responsibilities

  • Answer inbound calls from US customers and address questions & concerns regarding their healthcare benefits.
  • Handle incoming or outgoing phone calls to patients, clients, and other customers while proactively gaining patient and order information.
  • Work closely with patients and conduct conversations on therapy changes on targeted medications.
  • Utilize knowledge of insurance, healthcare, requirements for dispensing, processing of referrals, and providing customer education and routine assessment and problem identification.
  • Ensure HIPAA compliance and maintain patient adherence and compliance to their specific therapies.
  • Communicate effectively between levels of professionals, including engagement with doctors' offices and pharmacists.
  • Ensure timely and accurate billing for unbilled claims and account payment for outstanding balances while demonstrating excellent customer service to patients.
  • Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes, and pharmacy or shipping errors.
  • Maintain supporting chronological notes that detail actions taken to resolve outstanding unbilled claims.
  • Educate customers on online self-service for updates and help troubleshoot these self-services.
  • Empathize and resolve concerns to simplify the customer's healthcare experience.
  • Navigate through multiple computer applications with speed and accuracy.
  • Adapt to learn new call types when business needs change and flex support in those areas.

Essential Qualifications

To be successful in this role, you will need:

  • 6+ months of experience in a high-volume call center.
  • 1+ year of "high-level" empathetic customer service experience.
  • A customer-focused personality and a desire to help people.
  • A professional, positive attitude and courteous telephone etiquette.
  • Full-time schedule availability to meet business needs, including evenings and weekends.
  • Willingness to submit a drug test and background check.
  • 18+ years old and a high school diploma/GED.

Preferred Qualifications

While not required, the following qualifications will be considered a plus:

  • Previous experience in the healthcare or insurance industry.
  • Knowledge of healthcare benefits, claims, deductibles, and coverage.
  • Familiarity with HIPAA compliance and patient confidentiality.

Skills and Competencies

To excel in this role, you will need to possess:

  • Excellent communication and interpersonal skills.
  • Strong problem-solving and analytical skills.
  • Ability to work in a fast-paced, dynamic environment.
  • Proficient in navigating multiple computer applications.
  • Strong attention to detail and organizational skills.

What We Offer

At blithequark, we offer a comprehensive benefits package and a range of perks to support your well-being and career growth:

  • $14-$15 per hour + overtime during peak needs.
  • Benefits eligible after 60 days.
  • Access up to 50% of your pay immediately after your shift.
  • Health insurance (medical, dental, vision) and other benefits.
  • Pet insurance.
  • Paid, virtual training.
  • Remote work environment.
  • Opportunity for professional development.

Work Environment

As a remote customer service representative at blithequark, you will work from the comfort of your own home. To ensure a productive and efficient work environment, we require:

  • A high-speed internet connection with at least 25 mbps download speed (no satellite, Wi-Fi, or cellular/wireless carrier hotspot or internet services).
  • A hard-wired internet connection via ethernet cable to modem/router that you own/are responsible for.
  • A dedicated, quiet, and secured workspace with no distractions.
  • A USB wired headset with a noise-canceling microphone.

Career Growth Opportunities

At blithequark, we are committed to supporting the career growth and development of our employees. With six months of service in your current position, you will be eligible to apply for new positions that match your skills, education, and experience. We also offer opportunities for professional development and training to help you advance in your career.

Company Culture

At blithequark, we pride ourselves on our can-do culture that values teamwork, innovation, and customer satisfaction. We are an equal opportunity employer and welcome applicants from diverse backgrounds. Our global Fortune 500 clients rely on our expertise in customer care management to improve their customers' experience.

Why Join blithequark?

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to join our team at blithequark. With our comprehensive benefits package, remote work environment, and opportunities for career growth, we offer a rewarding and challenging work experience that will help you grow both personally and professionally.

Apply now and become part of our dynamic team at blithequark!

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