Experienced Full Stack Customer Service Representative – Healthcare Industry at Blithequark

Join Blithequark: Where Compassion Meets Innovation in Healthcare

Blithequark is a leading healthcare company dedicated to delivering exceptional patient experiences and innovative solutions. We are seeking a highly skilled and compassionate Customer Service Representative to join our team. As a Customer Service Representative at Blithequark, you will be the face of our organization, providing top-notch support to our members and clients. If you have a passion for helping others and a knack for resolving complex issues, we encourage you to apply for this exciting opportunity.

About Blithequark

At Blithequark, we are driven by a singular purpose: to deliver enhanced, human-driven healthcare for a rapidly changing world. Our mission is to make healthcare more personal, convenient, and affordable. We believe that our heart – our commitment to compassion, empathy, and kindness – is at the center of everything we do. Our Heart At Work Behaviors support this mission, empowering every individual who works at Blithequark to feel enabled by the role they play in transforming our approach to healthcare.

Job Summary

As a Customer Service Representative at Blithequark, you will play a critical role in delivering exceptional service to our members and clients. You will respond to questions, resolve issues, and provide guidance on our plans, products, and services. You will work in a fast-paced, dynamic environment, handling a high volume of calls, emails, and written correspondence. If you have excellent communication skills, a strong work ethic, and a passion for customer service, we encourage you to apply.

Key Responsibilities:

• Respond to questions and resolve issues from members, providers, and plan sponsors via phone, email, and written correspondence.
• Escalate emergencies to the appropriate staff and record and track contacts with members, providers, and plan sponsors.
• Guide members through their plan benefits, Blithequark policies, and procedures, and provide information on available resources.
• Build personal relationships with members by understanding and engaging with them to support their best health outcomes.
• Take ownership of understanding members' needs by building trusting and caring relationships.
• Anticipate member needs and provide related information to address unasked questions.
• Utilize customer service tools and resources to resolve member issues.
• Explain member limitations according to contract.
• Process claims references, new case handoffs, nurse reviews, complaints, and requests from members and providers.
• Educate providers on self-service options and assist with credentialing and re-credentialing issues.
• Handle document audit requests and litigation-related inquiries.
• Assist with preparing protest pattern reports and integrating claims data for client reviews.
• Determine clinical needs, relevant coverage policies, and check member plan eligibility.
• Handle incoming requests for pre-approvals and reviews.

Requirements:

To be successful in this role, you will need:

• A Bachelor's degree in a related field.
• Customer service experience in a call center or retail environment, preferably in the healthcare industry.
• Excellent oral and written communication skills.
• Proficiency in Microsoft Office, particularly Word and Outlook.
• Ability to multitask and work in a fast-paced environment.
• Strong problem-solving and critical thinking skills.
• Compassion, empathy, and a patient-centric approach.

Preferred Qualifications:

We prefer candidates with:

• Experience in a healthcare setting.
• Knowledge of clinical terminology.
• Familiarity with customer service software and tools.
• Previous experience in a remote work environment.

What We Offer:

At Blithequark, we offer a comprehensive benefits package, including:

• Competitive hourly rate of $30-$41 per hour.
• Full-time schedule with flexible hours, including weekends and holidays.
• Opportunities for career growth and professional development.
• A dynamic and supportive work environment.
• A range of benefits, including medical, dental, and vision coverage.
• A 401(k) retirement savings plan and employee stock purchase plan.
• Paid time off and holidays.
• Wellness programs and employee assistance programs.

How to Apply:

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Frequently Asked Questions:

Here are some frequently asked questions about the Customer Service Representative role at Blithequark:

• Q: What is the salary range for this role? A: The salary range for this role is $30-$41 per hour.
• Q: What are the working hours for this role? A: The working hours for this role are full-time, with flexible hours, including weekends and holidays.
• Q: What benefits does Blithequark offer? A: Blithequark offers a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement savings plan, and paid time off.
• Q: How do I apply for this role? A: To apply for this role, please submit your application, including your resume and a cover letter, to [insert contact information].

We are an equal opportunities employer and welcome applications from all qualified candidates. We look forward to hearing from you!