**Experienced Remote Healthcare Customer Service Representative – Delivering Compassionate Care to Patients Across the United States**

Remote Full-time
At blithequark, we're on a mission to revolutionize the way healthcare services are delivered, and we're looking for talented individuals to join our team of dedicated professionals. As a Remote Healthcare Customer Service Representative, you'll play a vital role in providing exceptional support to our clients' members or customers, ensuring they receive the care and attention they deserve. **About blithequark** blithequark is a leading provider of innovative healthcare solutions, committed to improving the lives of millions of people across the United States. Our team of passionate professionals is driven by a shared vision of delivering exceptional patient care, and we're seeking like-minded individuals to join our ranks. **The Opportunity** We're excited to announce an aggressive hiring campaign, with recruiters on standby to interview candidates anytime between 9:00 am to 6:00 pm Eastern Standard Time (and beyond!). If you're a customer service rockstar with a passion for healthcare, we want to hear from you! **Job Summary** As a Remote Healthcare Customer Service Representative, you'll be responsible for providing top-notch support to our clients' members or customers, answering inbound phone calls, and resolving a range of queries and issues. You'll work from the comfort of your own home, enjoying a flexible and autonomous work environment. **Responsibilities** * Perform PCP Change/Provider Lookup to ensure seamless transitions for our clients' members or customers * Look up Medical Benefits, including benefit maximums, copay/coinsurances, Prior Authorization pre-requisites, and coverage to provide accurate information and support * Review Ancillary Benefits, such as Dental, Vision, Over the Counter, and other services to ensure our clients' members or customers receive the care they need * Process claims inquiries, including resolving billing issues and answering questions about services and procedures * Answer enrollment/disenrollment inquiries, providing clear guidance and support to our clients' members or customers * Address Grievances/Complaints in a compassionate and empathetic manner, ensuring our clients' members or customers feel heard and valued * Perform billing tasks, including making payments, reviewing transaction history, and answering premium inquiries * Manage LEP (Limited English Proficiency) inquiries and disputes, providing support and guidance to our clients' members or customers who require language assistance * Assist with material requests, such as ID cards, Large/Brail print materials, and Catalogs, to ensure our clients' members or customers receive the resources they need * Provide self-help options, such as member portal access, to empower our clients' members or customers to take control of their healthcare * Offer local locations for pharmacies, OTC, and Specialist services, ensuring our clients' members or customers have access to the care they need **Experience Required for Success** To excel in this role, you'll need: * At least a High School diploma or equivalent * Minimum of 18 months Call center experience, with a proven track record of delivering exceptional customer service * Healthcare background a plus, but not required * Minimum of 2 years Computer Experience in a work environment, with a strong understanding of software applications and systems * Ability to multi-task, prioritize tasks, and manage competing demands * Strong written and oral communication skills, with the ability to articulate complex information in a clear and concise manner * Ability to display empathy and care, providing a compassionate and supportive experience for our clients' members or customers * Dedicated area to work from in your home, with a reliable internet connection and a quiet workspace * Internet speed requirement of 50 Mb/s for download speeds and 10 Mb/s for upload speeds (Wired access only, please) **What We Offer** As a Remote Healthcare Customer Service Representative at blithequark, you'll enjoy a range of benefits, including: * Competitive hourly rate of up to $13.25/hr in training, and $14.25/hr in production * Comprehensive medical, dental, vision, and 401K benefits to support your physical and financial well-being * Earned PTO, allowing you to take time off when you need it most * Opportunity to work from the comfort of your own home, enjoying a flexible and autonomous work environment * Career growth opportunities and learning benefits, with ongoing training and development to help you succeed **How to Apply** If you're a customer service superstar with a passion for healthcare, we want to hear from you! Apply now to join our team of dedicated professionals at blithequark. Apply for this job
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