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**Experienced Customer Service Representative – Medicaid and Medicare Support**

Remote, USA Full-time Posted 2025-11-03
Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? If so, we invite you to join our team of dedicated professionals at blithequark, a leading healthcare organization committed to revolutionizing the way people experience healthcare. At blithequark, we're not just looking for customer service representatives – we're seeking individuals who embody our core values of compassion, empathy, and excellence. As a Member Service Representative, you'll play a vital role in providing top-notch support to Aetna Medicaid members and providers, helping them navigate the complexities of their benefits and services. **About blithequark** blithequark is a forward-thinking healthcare organization that's redefining the way people experience healthcare. With a commitment to innovation, compassion, and excellence, we're dedicated to delivering enhanced human-centric healthcare solutions that make a real difference in people's lives. Our team of passionate professionals is united by a shared purpose: to bring our heart to every moment of your health. **Job Summary** As a Member Service Representative, you'll be responsible for providing telephone assistance to Aetna Medicaid members and providers, answering a wide range of inquiries related to benefits, eligibility, services, and prior authorization requirements. You'll work closely with our team to ensure that every caller receives an exceptional experience, every time. **Responsibilities** * Answer incoming member and provider calls and respond to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc. * Utilize high-speed internet connectivity with secure service via ethernet cable (Wi-Fi is not permitted) * Collaborate with our team to resolve complex issues and provide accurate information to callers * Meet performance standards, attendance requirements, and call quality goals * Participate in ongoing training and development to enhance your skills and knowledge * Work from home with the flexibility to commute to our office in Richmond, VA when needed **Required Qualifications** * High school diploma or equivalent * Ability to communicate effectively with members and providers orally and in written form * Strong customer service skills and a passion for delivering exceptional experiences * Ability to work from home and prove self-sufficiency * Must commute to the office in Richmond, VA when unable to work from home due to prolonged technical problems **Preferred Qualifications** * Experience working remotely in a call center setting * Experience with Medicaid and Medicare * Strong problem-solving skills and ability to think critically **Skills and Competencies** * Excellent communication and interpersonal skills * Strong customer service skills and a passion for delivering exceptional experiences * Ability to work in a fast-paced, dynamic environment * Strong problem-solving skills and ability to think critically * Proficiency in using technology, including high-speed internet connectivity and secure service via ethernet cable **Career Growth Opportunities and Learning Benefits** At blithequark, we're committed to helping our team members grow and develop their skills and knowledge. We offer a range of training and development opportunities, including: * Ongoing training and development to enhance your skills and knowledge * Opportunities for career advancement and professional growth * Access to our comprehensive benefits package, including medical, dental, and vision benefits * A 401(k) retirement savings plan and an Employee Stock Purchase Plan * A fully-paid term life insurance plan and short-term and long-term disability benefits * Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year **Work Environment and Company Culture** At blithequark, we're proud of our inclusive and supportive work environment. We're committed to creating a workplace where everyone feels valued, respected, and empowered to succeed. Our team is passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others. **Compensation and Benefits** We offer a competitive compensation package, including: * A pay range of $17.00 - $27.90 per hour * A comprehensive benefits package, including medical, dental, and vision benefits * A 401(k) retirement savings plan and an Employee Stock Purchase Plan * A fully-paid term life insurance plan and short-term and long-term disability benefits * Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year **How to Apply** If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others, we invite you to apply for this exciting opportunity. Please visit our website at [insert website URL] to learn more about our company culture and benefits. We can't wait to hear from you! **Equal Employment Opportunity** blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace where everyone feels valued, respected, and empowered to succeed. If you have a disability and require a reasonable accommodation to apply for this position, please contact us at [insert contact email or phone number]. Apply for this job    

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