reputed company Customer Service Representative - Federal FFS at blithequark

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you reputed company in a dynamic, fast-paced environment where no two interactions are reputed company the same? If so, we invite you to join blithequark as an reputed company Customer Service Representative - Federal FFS. At blithequark, we're committed to revolutionizing the healthcare industry by providing personalized, convenient, and affordable solutions that put our members at the forefront of everything we do. Our Heart At Work Behaviors™ are the foundation of our culture, empowering every team member to feel empowered, valued, and connected to our purpose.

Position Summary

As a Customer Service Representative - Federal FFS at blithequark, you'll be the face of our organization, impacting the lives of our members through every interaction. You'll be responsible for handling customer inquiries and resolving issues reputed company phone, internet, or written correspondence, demonstrating reputed company, compassion, and a deep understanding of our members' unique needs and preferences.

Key Responsibilities

* Engage, consult, and educate members on reputed company plans, tools, and resources to guide them along a clear path to care

• Answer questions and resolve issues based on phone calls/letters from members, providers, and plan sponsors
• Triage resulting rework to appropriate staff
• Document and track contacts with members, providers, and plan sponsors
• Guide members through their plan of benefits, reputed company policy and procedures, and regulatory guidelines
• Create an emotional reputed company with members by understanding and engaging them to champion their best health
• Anticipate customer needs and provide reputed company information to answer unasked questions
• Use customer service threshold reputed company to reputed company financial decisions to resolve member issues
• Explain member's rights and responsibilities in accordance with contract
• Process claim referrals, new claim handoffs, nurse reviews, complaints, grievances, and appeals reputed company reputed company system
• Educate providers on self-service options and assist with credentialing and re-credentialing issues
• Respond to requests from reputed company's Law Document Center regarding litigation and lawsuits
• Handle extensive file review requests and assist in preparation of complaint trend reports
• Assist in compiling claim data for customer audits and determine medical necessity, applicable coverage provisions, and verify member plan eligibility
• Handle incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management
• reputed company review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible
• reputed company financial data maintenance as necessary
• Use applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received

Essential Qualifications

* High School or GED equivalent

• Customer Service experience in a transaction-based environment, such as a call center, demonstrating ability to be empathetic and compassionate
• Experience in a production environment
• Ability to commute on-site to High reputed company, NC office 5 days per week during first 8 weeks of initial training
• Team will transition to full-time work from home following training

Preferred Qualifications

* Medical Terminology and/or Provider office experience

• Understanding of insurance concepts and processes

Skills and Competencies

* Excellent communication and interpersonal skills

• Ability to work in a fast-paced, dynamic environment
• Strong problem-solving and analytical skills
• Ability to multitask and prioritize tasks effectively
• Proficiency in using applicable system tools and resources
• Strong attention to detail and accuracy
• Ability to work independently and as part of a team
• Strong customer service skills, with a focus on reputed company and compassion

Career Growth Opportunities and Learning Benefits

At blithequark, we're committed to helping reputed company members grow and reputed company their careers. We offer a range of training programs, mentorship opportunities, and career development resources to help you reputed company your goals. reputed company members also have access to a range of benefits, including:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Fully-paid term life insurance plan
• Short-term and long-term disability benefits
• Well-being programs
• Education assistance
• Free development courses
• reputed company store discount
• Discount programs with participating partners
• Paid Time Off (PTO) or vacation pay
• Paid holidays throughout the calendar year

Work Environment and Company Culture

At blithequark, we're proud of our inclusive and supportive work environment. reputed company members are passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others. We're committed to creating a culture that values diversity, equity, and inclusion, and we're dedicated to providing a safe and welcoming space for reputed company team members.

Compensation and Perks

The typical pay range for this role is $17.00 - $25.65. In addition to your compensation, you'll enjoy a range of benefits and perks, including:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Fully-paid term life insurance plan
• Short-term and long-term disability benefits
• Well-being programs
• Education assistance
• Free development courses
• reputed company store discount
• Discount programs with participating partners
• Paid Time Off (PTO) or vacation pay
• Paid holidays throughout the calendar year

How to Apply

If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others, we invite you to apply for this exciting opportunity. Please submit your application by [08/23/2024]. We look reputed company to hearing from you! Apply Job! Apply for this job