Experienced Customer Service Representative – Behavioral Health Advocate and Care Coordinator (Monday-Friday 11:45am - 8:15pm EST)

Welcome to blithequark: Transforming Health Care with Compassion and Excellence At blithequark, we are dedicated to building a world of health around every consumer, driven by our passion for transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues. Our mission is to care for people where, when, and how they choose, in a way that is uniquely more connected, more convenient, and more compassionate. We do it all with heart, each and every day. Job Overview: Customer Service Representative – Behavioral Health blithequark has an exciting opportunity available for a full-time Customer Service Representative in our Behavioral Health team. As a Customer Service Representative, you will provide advocate care to assist members with a clear path to care, claims understanding, and resolution, while educating them on online resources. You will guide members through their plan of benefits, blithequark policy and procedures, and have knowledge of resources to comply with regulatory guidelines. Position Details Schedule: Monday-Friday 11:45am - 8:15pm EST. Please note that schedules are subject to change at any time with advanced notice due to business needs. Holiday/PTO Requirements: As a 24-hour call center operation, we treat holidays as normal working business days, unless you have been approved for time off. This means you would work your normal shift if the company-observed holiday falls on your normal workday. No PTO is available during the first 45 days of employment. Training Requirements: The first six weeks of employment will be training on Monday-Friday 9:00AM-5:30PM EST. Key Responsibilities As a Customer Service Representative, you will: Create an emotional connection with our members by understanding and engaging them to the fullest, championing their best health. Take accountability to fully understand the member’s needs by building a trusting and caring relationship with them. Anticipate customer needs and provide personalized support. Perform reviews of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Perform financial data maintenance as necessary. Explain member's rights and responsibilities in accordance with their contract. Workspace Requirements To ensure your success in this role, you must have a quiet and secure workspace in your home. We recommend the following technical requirements for your residential internet service: Select an internet service that is either broadband or fiber (e.g., Verizon Fios, Comcast). Select a minimum of 25mbps/3mbps. Remember, the higher the speed, the faster your internet. A hardwired connection is required (ethernet connection); a wireless connection will introduce the risk of performance degradation. Consider the internet usage of others in the household during your scheduled working hours. You may need to obtain a higher speed internet connection so your ability to perform your work is not affected. Streaming video content and gaming will significantly reduce the amount of bandwidth available for your corporate equipment. Qualifications and Skills To be successful in this role, you will need: Required Qualifications 1+ years of experience in a call center environment. Experience using Microsoft Office products, specifically Excel, Outlook, and Word. High School Diploma or GED. Preferred Qualifications Previous Behavioral Health, Medical, or Insurance background. Experience working from home in a remote role. Career Growth and Development At blithequark, we are committed to fostering a workplace where every colleague feels valued and has the opportunity to grow and develop their skills. We offer a range of training programs, mentorship opportunities, and career advancement possibilities to help you achieve your professional goals. Work Environment and Company Culture Our company culture is built on a foundation of compassion, excellence, and inclusivity. We believe in creating a workplace where everyone feels welcome, valued, and supported. Our colleagues are passionate about making a difference in the lives of our members, and we are committed to providing a positive and productive work environment that allows them to thrive. Compensation and Benefits We offer a competitive pay range of $17.00 - $34.15 per hour, depending on experience and qualifications. Our comprehensive benefits package includes: Affordable medical plan options. A 401(k) plan with company matching contributions. An employee stock purchase plan. No-cost programs for wellness screenings, tobacco cessation, and weight management. Confidential counseling and financial coaching. Paid time off, flexible work schedules, and family leave. Dependent care resources, colleague assistance programs, and tuition assistance. Retiree medical access and many other benefits, depending on eligibility. Conclusion If you are a compassionate and driven individual who is passionate about transforming health care, we encourage you to apply for this exciting opportunity to join our team as a Customer Service Representative – Behavioral Health. At blithequark, we are committed to making a difference in the lives of our members, and we believe that you can be a valuable part of our mission. Apply today and take the first step towards a rewarding and challenging career with a company that truly cares about its colleagues and the communities we serve. Apply for this job