Experienced Full Remote Customer Service Representative – Healthcare & Insurance Industry, Work from Home in Arkansas

Join the Team at Blithequark: Delivering Exceptional Customer Experiences in Healthcare

Blithequark is a leading provider of customer service solutions, dedicated to delivering high-quality experiences for customers across various industries. With a strong presence in the healthcare sector, we are seeking experienced Customer Service Representatives to join our team. As a Full Remote employee, you will have the opportunity to work from the comfort of your own home in Arkansas, providing top-notch service to our customers.

About Blithequark

Headquartered in Washington, D.C., Blithequark has established itself as a prominent player in the customer service industry, with delivery locations across 26 sites in seven countries and a network of over 30,000 employees. Our company culture is built on providing the environment, selection process, benefits, and training necessary to ensure that our agents are of the highest caliber. We believe that a quality agent makes all the difference in delivering exceptional customer experiences, which in turn, influences how customers feel about the brand they have chosen.

The Role: Customer Service Representative

As a Customer Service Representative at Blithequark, you will be working directly with customers to answer general inquiries, address concerns, and assist with requests about products and services across multiple lines of business. Your primary goal will be to project a professional company image and provide superior customer service through various customer contact channels.

Key Responsibilities:

• Resolving coordination of benefits inquiries by analyzing patient activity, including enrollment, third-party liability, and claims attachments.
• Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information.
• Thoroughly and completely documenting all customer interactions.
• Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
• Educating customers on the usage and benefits of self-service tools.
• Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist.
• Directing inquiries to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role.
• Responding to customer inquiries in a courteous and professional manner.
• Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications across all channels, including phone, email, web portal, and chat interactions.
• Responding to and resolving internal and external complex customer inquiries.
• Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken.
• Taking ownership of the resolution and setting expectations for follow-up.
• Ensuring resubmissions, stop payments, and voids are appropriately handled.
• Meeting or exceeding individual, department, and client-specific goals.
• Understanding and adhering to all client administrative and contractual policies and procedures.
• Suggesting ways to improve the service delivery processes contributing to the success of the organization.
• Other duties as assigned.

Qualifications

We consider the following qualifications critical for this role:

• High School Diploma or Equivalent
• 2 years of experience in a high-volume customer service environment
• Experience in the healthcare or related industry preferred
• Ability to multi-task using multiple applications simultaneously
• Ability to set up computer equipment and troubleshoot issues with minimal assistance
• Professional verbal and written communication skills
• Ability to operate a computer and knowledge of Microsoft Office applications
• Strong organizational skills and attention to detail
• Ability to work independently and with a team
• Ability to learn quickly and adapt to a fast-paced production environment
• Cooperative, professional, and effective interaction skills
• Critical thinking and problem-solving skills
• Ability to tolerate repetitive work without compromising accuracy and service levels
• Attend additional training as requested or deemed necessary

Preferred Qualifications:

• Medical/Dental terminology knowledge experience
• Medicare/Medicaid knowledge
• Claims/Billing and coding experience

Benefits and Perks at Blithequark

We offer a comprehensive benefits package to support our employees' well-being and career growth:

• Medical, Dental, and Vision insurance
• 401(k) Retirement Savings Plan
• Paid Time Off
• Paid T-Mobile cell service
• $500.00 Employee referral program
• Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental, and much more)

Why Join Blithequark?

At Blithequark, we are committed to providing a supportive and dynamic work environment that fosters growth and development. As a Customer Service Representative, you will have the opportunity to:

• Develop your skills and expertise in customer service and healthcare
• Work with a diverse team of professionals who share a passion for delivering exceptional customer experiences
• Contribute to the success of our organization and make a positive impact on our customers' lives
• Enjoy a flexible work-from-home arrangement and a healthy work-life balance

How to Apply

If you are a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity at Blithequark. Please submit your application, including your resume and a cover letter, to join our team and start delivering exceptional customer experiences.

Don't miss this chance to join a dynamic team and take your career to the next level!