**Experienced Full Stack Customer Service Representative – Remote $30/Hour**

Join blithequark, a leading healthcare organization, in its mission to revolutionize the way people experience healthcare. As a Customer Service Representative, you will play a vital role in shaping the lives of individuals and families by providing exceptional support and guidance in navigating their healthcare benefits. **About blithequark** At blithequark, we are committed to carrying our heart to every moment of our customers' wellbeing. Our purpose drives our obligation to deliver human-centered healthcare solutions that make a meaningful impact in a rapidly changing world. Our Heart At Work Behaviors support this purpose, empowering every individual who works at blithequark to feel enabled by the role they play in transforming lives and accelerating the development and delivery of solutions that make healthcare more personal, accessible, and affordable. **Job Summary** As a Customer Service Representative, you will be the face of blithequark, influencing individuals' service experience by handling customer inquiries and issues through phone, web, or written correspondence. You will connect, counsel, and educate individuals based on their unique needs, preferences, and understanding of blithequark's plans, tools, and resources to guide them along a path to better health. **Key Responsibilities** * Respond to customer inquiries and resolve issues in a timely and professional manner * Escalate emergencies to the appropriate staff and record and track contacts with customers, suppliers, and plan sponsors * Guide customers through their benefits, blithequark's strategy, and methods, as well as provide information on available resources to ensure compliance with regulatory requirements * Build a personal connection with customers by actively listening and engaging them to support their best health * Take ownership of customers' needs, providing relevant information to address unasked questions, such as additional plan details, benefit plan details, and self-service tools * Utilize customer support software to make informed financial decisions to resolve customer issues * Explain customers' limitations based on contract terms * Process claim references, new case handoffs, nurse surveys, complaints (customer/supplier), and requests (customer/supplier) through the target system * Educate suppliers on self-service options and assist with credentialing and re-credentialing issues * Answer demands received from blithequark's Regulatory Record Place regarding litigation; claims Handle broad document audit requests * Assist in preparing protest pattern reports and incorporating claim information for customer reviews * Determine clinical needs, relevant coverage arrangements, and check customer plan eligibility related to incoming correspondence and internal references * Handle incoming requests for claims and pre-approvals not handled by Clinical Case Management * Perform a review of customer claim history to ensure accurate tracking of benefit maximums and coinsurance/deductible * Perform financial data support as needed * Utilize relevant system tools and resources to create quality letters and calculation sheets in response to customer requests **Required Capabilities** * Previous customer service experience in an exchange-based environment, such as a call center or retail store, demonstrating the ability to be empathetic and compassionate * Ability to perform multiple tasks to efficiently complete responsibilities * Understanding of clinical terminology * Proficient oral and written communication skills * Proficient with Microsoft Word and Outlook * Ability to maintain accuracy and production standards * Exchange skills * Technical skills * Critical thinking skills * Empathy and accuracy **Why Join blithequark?** In addition to your hourly rate of $30-$41, you will enjoy the benefits of working for an organization that puts its heart into caring for its partners and communities. blithequark offers a comprehensive range of clinical, dental, and vision benefits. Eligible employees may participate in the organization's 401(k) retirement savings plan, and a Stock Purchase Plan is also available for eligible employees. The organization provides a fully paid term life insurance plan to eligible employees, as well as short-term and long-term disability benefits. blithequark also offers various wellness programs, education assistance, free development courses, and CVS store discounts with participating partners. Regarding downtime, organization employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. The number of paid holidays, sick time, and other time off are provided consistently with relevant state regulations and company policies. **Interview Preparation** To prepare for your interview, consider the following questions: 1. Can you tell me about yourself? 2. What is your strength? 3. What is your weakness? 4. Why do you want to work for this organization? 5. What is your salary expectation? 6. How would you resolve conflicts with your colleagues? 7. What motivates you? 8. What experience do you have in this field? 9. How would you prioritize your work? 10. How would you manage stress? 11. Can you give an example of a time when you exceeded expectations for a customer or partner? 12. What is your leadership style? 13. What skills do you have that make you a good fit for this role? 14. Do you have any questions for us? 15. Can you describe a challenging situation you faced at work and how you overcame it? **** If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, apply to this role today! Apply for this job