Experienced Concierge Customer Service Representative – Remote Healthcare Support Specialist

Introduction to blithequark

At blithequark, we are a dynamic and innovative community of professionals dedicated to delivering exceptional customer experiences and making a meaningful impact in the healthcare industry. With a strong commitment to excellence and a passion for helping others, we have established ourselves as a leader in providing top-notch healthcare solutions. Our team is comprised of talented and driven individuals who thrive in a collaborative environment, and we are now seeking an experienced Concierge Customer Service Representative to join our remote team.

Job Overview

In this critical role, you will be responsible for providing exceptional customer service to our members and providers, responding to inquiries, and resolving issues in a timely and professional manner. As a Concierge Customer Service Representative, you will be the primary point of contact for our customers, and your excellent communication skills, patience, and ability to handle complex situations will be essential in delivering outstanding service and ensuring customer satisfaction.

Key Responsibilities

• Respond to telephone and email inquiries from members and providers within defined service standards, providing accurate and timely information and resolving issues efficiently.
• Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers, utilizing strong analytical and research skills to achieve successful outcomes.
• Assist members with benefits and healthcare questions, providing clear and concise information and support to ensure a positive customer experience.
• Document all calls received in system-based call log, maintaining accurate and detailed records of customer interactions.
• Build strong relationships with internal and external customers, including members, providers, and other stakeholders, to ensure seamless communication and collaboration.

Requirements and Qualifications

To be successful in this role, you will need to possess a combination of education, experience, and skills that demonstrate your ability to provide exceptional customer service and navigate complex healthcare issues.

• Minimum HS Diploma/GED, with 2 years of college or higher education preferred.
• At least one year of customer service or call center experience in a healthcare-related role, with medical intake or Third-Party Administrator (TPA) experience highly desirable.
• Bilingual English-Spanish skills are a plus, as are knowledge of medical terminology, provider organizations and networks, and CMS Medicare reimbursement rates.
• Strong customer relations, interpersonal skills, and the ability to handle confidential and sensitive information with discretion and professionalism.
• Proficient with Microsoft applications, strong computer skills, and computer navigation, with excellent data entry and typing skills.
• Ability to effectively negotiate rate structures, take initiative to resolve situations, and accomplish projects, actions, and tasks with independence and judgment.

Essential Skills and Competencies

• Excellent verbal and written communication skills, with the ability to communicate complex information clearly and concisely.
• Strong analytical and research skills, with the ability to analyze data, identify trends, and make informed decisions.
• Ability to multi-task, prioritize tasks, and manage multiple projects simultaneously, with a strong attention to detail and organizational skills.
• Strong problem-solving skills, with the ability to think critically and outside the box to resolve complex issues.
• Ability to work independently and as part of a team, with a strong commitment to collaboration and customer satisfaction.

Career Growth and Development

At blithequark, we are committed to the growth and development of our employees, and we offer a range of opportunities for professional development and advancement. As a Concierge Customer Service Representative, you will have access to training and development programs, mentorship, and career coaching to help you achieve your career goals.

Work Environment and Company Culture

Our remote work environment is designed to be flexible and supportive, with a range of tools and resources available to help you succeed. Our company culture is built on a foundation of respect, empathy, and inclusivity, and we are committed to creating a positive and supportive work environment that values diversity and promotes equal opportunities.

Compensation and Benefits

We offer a competitive compensation package, with a pay range of $16.00 to $18.00 per hour, depending on experience. Our benefits package includes a range of perks and benefits, such as paid time off, medical, dental, and vision insurance, short and long-term disability, life insurance, and a 401k plan with match.

How to Apply

If you are a motivated and customer-focused individual with a passion for healthcare and a commitment to excellence, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to be considered for this role.

Conclusion

At blithequark, we are dedicated to delivering exceptional customer experiences and making a positive impact in the healthcare industry. As a Concierge Customer Service Representative, you will play a critical role in achieving our mission and vision, and we look forward to welcoming you to our team. Apply now to take the first step in an exciting and rewarding career with blithequark.