**Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits**

Are you a customer service professional looking for a new challenge that aligns with your values and goals? Do you thrive in a dynamic, mission-driven environment where you can make a real difference in the lives of others? If so, we invite you to join the team at blithequark, a rapidly growing national quality improvement and care management organization dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. As a Customer Service Representative at blithequark, you will play a vital role in providing exceptional support to our beneficiaries and providers through our helpline, creating and formatting letters, and maintaining timeliness. This position requires a high degree of decision-making, particularly in regards to complex appeals, and demands a customer-focused, results-oriented approach to building and maintaining relationships with internal and external customers. **Why Join blithequark?** At blithequark, we are passionate about improving lives through healthcare quality and clinical expertise. Our people-focused, mission-driven approach has earned us a reputation as a leader in the industry, and we are committed to providing our employees with the training, support, and benefits they need to excel in their careers. As a valued member of our team, you will have the opportunity to shape the future of healthcare, work with a talented and dedicated group of professionals, and enjoy a comprehensive rewards package that includes: * Fully remote position with rotational shifts available for EST, CT, or PST * Full benefits (medical, dental, vision, etc.) effective the first month following your hire date * Paid time off for a great work-life balance * 401k with match and no vesting period * Opportunities for career growth and professional development **Key Responsibilities:** As a Customer Service Representative at blithequark, your key responsibilities will include: * Typing/merging, proofing for clarity, printing, and mailing correspondence * Communicating verbally and in writing with external customers to furnish and request review information * Fostering effective working relationships between blithequark's internal and external customers * Assisting with and participating in Review Team in identifying areas for potential improvement, as noted on case reviews and process * Answering the Beneficiary Helpline through the utilization of the hunt group and available light functions * Determining how to best assist caller either by a service offered by blithequark or by referring them to an external agency and properly entering referral into CMS system * Ensuring all letters are sent out in a timely manner with correct components included and reviewed for grammatical and spacing errors * Gathering and validating notices and all components of medical records * Providing intake for all appeals received by blithequark * Proficient in customer service guidelines and standards * Utilizing internal quality control tools to assess individual work and team processes **Qualifications:** To be successful in this role, you will need: * High school diploma or equivalent * Post-high school business courses helpful * Medical terminology desired * Excellent verbal communication skills, courteous and patient demeanor, must be customer-oriented and have the ability to maintain composure under potentially stressful situations * Good grammar, punctuation, spelling, hyphenation, and written communications skills * Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers * General knowledge of a PC-based computer system desirable * Knowledge of various software packages with the ability to learn additional software packages as needed * Ability to multi-task and prioritize assignments * Good organizational skills and ability to work independently **Experience:** We are seeking a candidate with two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities. Prior work in a healthcare setting or medical terminology is recommended, and previous data entry or other clerical experience is a plus. **Mental and Physical Requirements:** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state. **Equal Opportunity Employer:** blithequark is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. **How to Apply:** If you are a motivated, customer-focused professional looking for a new challenge, we invite you to apply for this exciting opportunity. Please submit your application through our website, and we will be in touch with you shortly to discuss your qualifications further. Thank you for considering blithequark as your next career destination! Apply for this job