reputed company Full Stack Customer Service Representative – National Remote Health Benefits and Claims Resolution
Join the Team at Blithequark: Where Compassion Meets Innovation in Healthcare
Blithequark is revolutionizing the healthcare industry by providing top-notch health benefit plans to millions of people across the nation. As a leader in the third-party administrator (TPA) solutions, we're dedicated to creating higher quality care, reputed company costs, and greater access to healthcare. Our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We're looking for a compassionate and skilled Customer Service Representative to join reputed company and reputed company a profound impact on the lives of our members and their families.
About the Role
As a Customer Service Representative at Blithequark, you'll play a critical role in delivering exceptional customer service and resolving healthcare claims with reputed company and expertise. You'll work in a fast-paced, dynamic environment, responding to calls from our members, answering questions, and resolving issues reputed company to healthcare eligibility, claims, and payments. You'll also review and process healthcare claims, ensuring that every claim receives a fair and thorough review.
Key Responsibilities:
- Respond to incoming phone calls from customers, identifying their needs and providing assistance with benefit and eligibility, billing and payments, authorizations for treatment, and explanation of benefits (EOBs)
- Ask relevant questions, listen actively, and document required information in computer systems
- Resolve customer issues in real-time or through comprehensive and timely follow-up
- Review and research incoming healthcare claims from members and providers, verifying data and information necessary for processing
- Ensure that proper benefits are applied to each claim, using appropriate processes and procedures
- Communicate and collaborate with members and providers to resolve issues, using clear and simple language
- Meet performance goals established for the position, including efficiency, accuracy, quality, member satisfaction, and attendance
Requirements and Qualifications
Essential Qualifications:
- High School Diploma or equivalent experience
- 1 year of prior experience in a call center setting
- 1 year of experience in a customer service role
- Experience working in the healthcare and health insurance industry
- Experience with Medical Terminology
- Experience working in a metric-driven work environment
- Ability to work any 8-hour shift between 8:00 AM - 4:30 PM CST, Monday - Friday, including flexibility to work occasional overtime
- Must be 18 years of age or older
Preferred Qualifications:
- Previous experience with healthcare claims processing and benefits administration
- Familiarity with healthcare regulations and guidelines, such as CMS/Medicare
- Excellent problem-solving and analytical skills
- Strong communication and interpersonal skills
reputed company Offer
Compensation and Benefits:
We offer a comprehensive benefits package, including:
- Competitive hourly reputed company ($16.00 - $28.27 per hour, depending reputed company and experience)
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Comprehensive benefits package
Career Growth and Development:
At Blithequark, we're committed to helping our employees grow and reputed company their careers. You'll have access to:
- Weeks of paid on-the-job training
- Ongoing coaching and feedback
- Career advancement opportunities
- Professional development programs
Work Environment and Culture:
We pride ourselves on a culture that values compassion, reputed company, and innovation. As a remote employee, you'll enjoy:
- Flexibility to work from reputed company reputed company the U.S.
- Autonomy to manage your work schedule
- Opportunities to connect with colleagues and leadership
- A dynamic and supportive work environment
How to Apply
If you're passionate about delivering exceptional customer service and making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to join reputed company at Blithequark.