**Experienced Customer Service Professional (CSP) Level I – Delivering Exceptional Patient Experience in a Dynamic Contact Center Environment**

Remote Full-time
At blithequark, we are dedicated to providing top-notch customer service to our patients, and we are seeking an experienced Customer Service Professional (CSP) to join our team. As a CSP, you will be the first point of contact for our patients, providing a seamless and efficient experience that sets the tone for their entire interaction with our organization. If you are passionate about delivering exceptional customer service, have a strong work ethic, and are eager to learn and grow, we encourage you to apply for this exciting opportunity. **About blithequark** blithequark is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower patients to take control of their health and well-being by providing access to high-quality, patient-centered care. We are committed to fostering a culture of excellence, innovation, and collaboration, and we are seeking like-minded individuals to join our team. **Primary Duties & Responsibilities** As a CSP at blithequark, you will be responsible for providing exceptional customer service to our patients, families, and healthcare providers. Your duties will include: * Receiving inbound phone and electronic referrals from workers compensation insurance companies, nurse case managers, providers, doctors, patients, and other stakeholders * Opening new cases accurately according to policy and procedures * Making outbound telephonic/electronic contacts with adjusters and Physical Therapy Centers to verify new case information, request related paperwork, and communicate updates on patient status * Communicating with adjusters and nurse case managers regarding updates on patient status in a timely manner * Maintaining TAA goal (Total Agent Availability) monthly * Consistently meeting MedRisk Customer Support Service & Quality standards (call monitoring and EOC monitoring) * Reviewing case information and consulting with Case Management to determine if new cases need to be opened or patients can be followed in existing cases * Validating new case data by reviewing, correcting, deleting, or re-entering data; combining data when account information is incomplete; purging files to eliminate duplication of data * Requesting verification from insurance companies and other related paperwork from providers telephonically/electronically * Making outbound calls to Providers and Patients to schedule patient's Physical Therapy * Understanding blithequark's interdepartmental procedures, policies, and complying with them * Identifying potential or existing system and/or procedural challenges, and notifying Supervisor and assisting in resolution if needed * Completing special projects or tasks as assigned by the supervisor * Applying knowledge of and adhering to the URAC Utilization Management Standards * Other duties as assigned **Essential Qualifications** * Bachelor's degree preferred or industry experience equivalent * Minimum of 3 years of call center experience with both in-bound and out-bound calls (medium to high volume) * Excellent verbal and written customer service skills demonstrating a can-do attitude * Highly developed problem-solving skills * Strong data entry skills * Detail-oriented and solid organizational skills * Solid MS Word, Excel, and Outlook experience * Ability to multi-task and work independently * Bilingual in English and Spanish, this is a plus (not required) **Preferred Qualifications** * Experience working in a healthcare or insurance-related industry * Familiarity with workers compensation and utilization management processes * Experience with case management software and systems * Strong analytical and problem-solving skills * Ability to work in a fast-paced environment with multiple priorities and deadlines **Skills and Competencies** * Excellent communication and interpersonal skills * Strong problem-solving and analytical skills * Ability to work independently and as part of a team * Strong organizational and time management skills * Ability to adapt to changing priorities and deadlines * Strong attention to detail and accuracy * Ability to maintain confidentiality and handle sensitive information * Strong customer service skills and a positive attitude **Career Growth Opportunities and Learning Benefits** At blithequark, we are committed to providing our employees with opportunities for growth and development. As a CSP, you will have the opportunity to: * Develop your skills and knowledge in customer service, case management, and utilization management * Work with a dynamic and experienced team to deliver exceptional patient care * Participate in ongoing training and professional development opportunities * Collaborate with other departments to improve processes and procedures * Contribute to the development of new programs and initiatives **Work Environment and Company Culture** blithequark is a dynamic and fast-paced organization that values innovation, collaboration, and excellence. Our team is dedicated to delivering exceptional patient care and making a positive impact in the lives of our patients and families. We offer a supportive and inclusive work environment that encourages open communication, creativity, and teamwork. **Compensation, Perks, and Benefits** We offer a competitive compensation package, including: * Competitive salary * Comprehensive benefits package, including medical, dental, and vision insurance * 401(k) retirement plan with company match * Paid time off and holidays * Opportunities for professional development and growth * A dynamic and supportive work environment **How to Apply** If you are a motivated and customer-focused individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter explaining why you are the ideal candidate for this role. We look forward to hearing from you! [Apply Job!]( Apply for this job
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