Join the Team at blithequark and Make a Difference in Healthcare
blithequark is seeking a compassionate and customer-focused individual to join our team as a Customer Service Representative. As a key member of our team, you will have the opportunity to work remotely from anywhere within the U.S. and make a profound impact on the lives of our members and their families. We offer a dynamic and supportive work environment, comprehensive training, and opportunities for career growth and advancement.
About blithequark
blithequark is the nation's largest third-party administrator (TPA) of consumer-oriented health benefit plans, serving millions of people across the country. Our goal is to create higher quality care, lower costs, and greater access to healthcare. We are committed to delivering exceptional customer service and support to our members, and we are looking for talented individuals like you to join our team.
Job Summary
As a Customer Service Representative at blithequark, you will play a critical role in creating a quality experience for our members. You will respond to calls, answer questions, and resolve issues related to healthcare eligibility, claims, and payments. You will also review and research healthcare claims, ensuring that every claim receives a fair and thorough review. Our ideal candidate is a motivated and empathetic individual who is passionate about delivering exceptional customer service and making a positive impact on the lives of others.
Key Responsibilities
- Answer incoming phone calls from customers and identify the type of assistance they need
- Ask questions and listen actively to identify specific questions or issues, documenting required information in computer systems
- Own problems through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up
- Review and research incoming healthcare claims from members and providers, verifying data and information necessary for processing
- Ensure that proper benefits are applied to each claim using appropriate processes and procedures
- Communicate and collaborate with members and providers to resolve issues, using clear and simple language
- Meet performance goals established for the position in areas such as efficiency, accuracy, quality, member satisfaction, and attendance
Requirements and Qualifications
Essential Qualifications
- High school diploma or equivalent experience
- 1 year of prior experience in a call center setting
- 1 year of experience in a customer service role
- Experience working in the healthcare and health insurance industry
- Experience with medical terminology
- Experience working in a metric-driven work environment
- Ability to work any 8-hour shift between 8:00 AM - 4:30 PM CST, Monday - Friday, including flexibility to work occasional overtime
- Must be 18 years of age or older
Preferred Qualifications
- Previous experience working in a remote or telecommuting environment
- Familiarity with healthcare claims processing and benefits administration
- Certifications or training in customer service, healthcare, or a related field
Skills and Competencies
To succeed in this role, you will need to possess the following skills and competencies:
- Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner
- Proficient problem-solving approach to quickly assess current state and formulate recommendations
- Ability to listen skillfully, collect relevant information, and determine immediate requests
- Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions
- Flexibility to customize approach to meet all types of member communication styles and personalities
- Proficient conflict management skills, including ability to resolve issues in stressful situations
Telecommuting Requirements
As a remote employee at blithequark, you will be required to:
- Have a dedicated work area established that is separated from other living areas and provides information privacy
- Live in a location that can receive a blithequark-approved high-speed internet connection or leverage an existing high-speed internet service
- Adhere to blithequark's Telecommuter Policy
Career Growth and Learning Benefits
At blithequark, we are committed to the growth and development of our employees. We offer:
- Comprehensive training programs to help you build a successful career
- Opportunities for career advancement and professional growth
- Competitive compensation and benefits package
- Incentive and recognition programs to reward your performance
- Equity stock purchase and 401k contribution (subject to eligibility requirements)
Work Environment and Company Culture
At blithequark, we strive to create a work environment that is supportive, inclusive, and dynamic. We value diversity and are committed to creating a culture that is free from bias and harassment. Our employees are our greatest asset, and we are dedicated to providing a workplace that is engaging, challenging, and rewarding.
Compensation and Benefits
We offer a competitive compensation and benefits package, including:
- Competitive hourly rate ($16.00 - $28.27 per hour, depending on location and experience)
- Comprehensive benefits package, including medical, dental, and vision coverage
- Incentive and recognition programs to reward your performance
- Equity stock purchase and 401k contribution (subject to eligibility requirements)
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 at blithequark. Please submit your application, including your resume and cover letter, to be considered for this role.
We are an Equal Employment Opportunity/Affirmative Action employer and welcome applications from diverse candidates. We are committed to creating a workplace that is inclusive and free from bias and harassment.
Apply Now