**Experienced Customer Service Representative - Provider Support - Remote Opportunity**

At blithequark, we're revolutionizing the healthcare experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the healthcare system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. **About the Role** We're seeking an experienced Customer Service Representative to join our Provider Support team. As a key member of our team, you'll be responsible for providing exceptional support to healthcare providers, answering questions, and resolving issues related to benefits, billing, clinical authorizations, and more. This is a full-time, remote opportunity, and we're looking for someone who is passionate about delivering outstanding customer service and making a positive impact on the lives of our members. **Primary Responsibilities** - Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues - Service providers in a multi-channel environment, including call, concurrent chat, as required - Quickly and appropriately triage contacts from healthcare professionals, including physician offices, clinics, and billing offices - Seek to understand and identify the needs of the provider, answering questions and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health - Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls/messages, escalations, and provider dissatisfaction - Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner - Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types - Influence providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool, including aiding in faster resolution **Required Qualifications** - High School Diploma/GED or equivalent work experience - Must be 18 years of age or older - 1+ years of customer service experience with analyzing and solving customer concerns - Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications - Ability to type at the speed of greater than or equal to 35-40+ WPM with an accuracy of 90% - Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime, weekends, and/or some holidays based on business need. **Preferred Qualifications** - Prior healthcare experience and knowledge of healthcare terminology - Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools **Telecommuting Requirements** - Reside within CST, EST, or MST - Ability to keep all company-sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Must live in a location that can receive a blithequark-approved high-speed internet connection or leverage an existing high-speed internet service **Soft Skills** - Ability to multi-task, including the ability to type in multiple conversations - Ability to resolve calls and messages, avoiding escalated complaints - Time management skills - Emotional Intelligence and Empathy - Active Listening and Comprehension - Excellent written communication skills - Demonstrated problem-solving, organization, and interpersonal skills - Demonstrated experience consistently achieving quality and productivity standards - All employees working remotely will be required to adhere to blithequark's Telecommuter Policy **Career Growth Opportunities and Learning Benefits** At blithequark, we're committed to helping our employees grow and develop their careers. As a Customer Service Representative, you'll have access to: - Comprehensive training program to ensure your success in the role - Ongoing coaching and feedback to help you improve your skills and performance - Opportunities for advancement to leadership roles and other areas of the company - Access to a wide range of training and development programs to help you build your skills and knowledge **Work Environment and Company Culture** We're proud of our company culture at blithequark, which is built on the values of: - Caring: We care about our members, our employees, and our communities - Connecting: We connect with our members, our employees, and our partners to deliver exceptional service and support - Growing: We grow and develop our employees to help them achieve their career goals and aspirations **Compensation, Perks, and Benefits** We offer a competitive compensation package, including: - Hourly rate: $16.54 to $32.55 per hour (dependent on location and experience) - Comprehensive benefits package, including medical, dental, and vision insurance - Incentive and recognition programs to reward your hard work and achievements - Equity stock purchase and 401(k) contribution (subject to eligibility requirements) **Diversity, Equity, and Inclusion** At blithequark, we're committed to creating a diverse, equitable, and inclusive workplace where everyone can thrive. We believe that diversity is a strength, and we're proud to be an Equal Employment Opportunity/Affirmative Action employer. **How to Apply** If you're passionate about delivering exceptional customer service and making a positive impact on the lives of our members, 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 can't wait to hear from you! Apply for this job