**Experienced Customer Service Representative – Healthcare Remote Support**

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry? Do you thrive in fast-paced, dynamic environments where no two calls are ever the same? If so, we invite you to join blithequark's team of dedicated customer service representatives, supporting the expanding needs of one of our largest health insurance company customers. **About blithequark** blithequark is a digital transformation company that has been helping customers globally, across industries, provide exceptional experiences for their customers for over 35 years. Recently recognized as a Great Place to Work in the US, we pride ourselves on creating a culture that values diversity, inclusivity, and employee growth. Our commitment to making digital processes feel more human has earned us a reputation as a trusted partner in the industry. **Job Summary** As an Experienced Customer Service Representative – Healthcare Remote Support, you will play a critical role in delivering an exceptional customer experience by responding to incoming calls from both in-network and out-of-network providers to assist with simple and complex inquiries. You will be responsible for resolving issues, answering questions, and providing education on available self-service options. If you're a goal-oriented individual with a passion for helping others, we encourage you to apply. **Key Responsibilities** * Deliver an exceptional customer experience by responding to incoming calls from both in-network and out-of-network providers to assist with simple and complex inquiries * Assist providers with claims and claims investigations, status inquiries, denial rationale, appeals, research and routing, explanation of payments/explanation of benefits requests, authorizations, and utilization management appeals * Provide education on available self-service options and assist providers with navigating these tools * Utilize medical benefit grids to interpret and provide accurate information to providers * Verify provider participation and credentialing inquiries * Document interactions and maintain accurate records * Provide information and support to providers on a variety of topics, including eligibility and benefits, prior authorization verification, and credentialing * Collaborate with internal teams to resolve complex issues and provide exceptional customer experiences **Qualifications** * High School Diploma or equivalent * 1-2 years of experience working in a high-volume call center environment as a customer service representative * Effective verbal and written communication skills * Strong typing and analytical abilities (40 Words-Per-Minute typing-speed) * Active listening and problem-solving abilities * Soft skills and positive attitude * Multi-tasking skills with a strong attention to detail * Time Management skills * Sufficient Internet speeds while connected to a Remote Desktop Session (10MB Download / 2MB Upload) * Quiet and distraction-free dedicated workspace * Schedule adherence – Be present and on-time **Preferred Qualifications** * 1-2 years of experience in a medical office setting * 1-2 years of experience with healthcare insurance * Medicaid experience highly favored * 1-2 years of experience with billing or coding * 1-2 years of experience with back-end processing **What We Offer** * Competitive pay rate of $16/hour * Medical, dental, and vision benefits * Paid training * Global Flexible Vacation Policy after training * Company-provided equipment * Advancement opportunities – 80% of our frontline leaders have been promoted from within * Monthly rewards & recognition programs * Employee Discounts * EAP & Health and Wellness programs, including a personal trainer dedicated to blithequark * Weekday schedule, Monday-Friday, 8AM-5PM EST **Why Join blithequark?** * We're a Great Place to Work in the US, recognized for our commitment to diversity, inclusivity, and employee growth * We offer a dynamic and supportive work environment that values employee feedback and growth * We're a leader in the digital transformation industry, with a reputation for delivering exceptional customer experiences * We offer a competitive compensation package, including medical, dental, and vision benefits * We're committed to providing opportunities for advancement and career growth **How to Apply** If you're a motivated and customer-focused individual with a passion for helping others, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team of dedicated customer service representatives. Apply Now! **Equal Employment Opportunity** blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that values diversity, inclusivity, and employee growth. Apply for this job