Experienced Customer Service Representative – Remote Healthcare Support Specialist for Oklahoma Residents at blithequark

Welcome to blithequark: Empowering Exceptional Customer Experiences

At blithequark, we are dedicated to delivering outstanding customer service experiences that make a meaningful difference in people's lives. As a leader in the industry, we are committed to fostering a culture of empathy, professionalism, and innovation. Our team is passionate about providing top-notch support to our members, prospective members, and providers, ensuring that their healthcare needs are met with care and precision. If you are a motivated and compassionate individual with a passion for customer service, we invite you to join our dynamic team as a Customer Service Representative – Remote (OK Residents Only).

Job Overview

In this high-volume, inbound call center role, you will be the primary point of contact for our members, prospective members, and providers, addressing their questions and concerns regarding healthcare benefits, pharmacy services, provider listings, and more. Your expertise and empathy will guide callers through complex healthcare plans and related systems, ensuring a seamless and supportive experience. As a valued member of our team, you will be responsible for providing accurate and timely information, resolving customer concerns, and documenting all interactions with precision and care.

Key Responsibilities:

• Handle a high volume of inbound calls with professionalism, accuracy, and empathy
• Provide members and providers with detailed information on benefits, pharmacy services, provider directories, and other relevant topics
• Document and track all member/provider contact in our system, ensuring data accuracy and integrity
• Guide members through policy details and regulatory requirements, offering clear explanations and support
• Process claim referrals, complaints, and appeals in a timely and efficient manner
• Review and interpret member claims history for accurate benefit tracking and informed decision-making
• Support credentialing/recredentialing processes for providers, ensuring compliance with regulatory standards
• Respond to legal documentation requests and prepare trend reports and audit-related documentation as needed
• Educate members on self-service tools and resolve customer concerns within established guidelines and protocols

Essential Qualifications:

To be considered for this exciting opportunity, you must:

• Reside in Oklahoma, with a reliable high-speed internet connection (minimum 25 Mbps download / 3 Mbps upload)
• Use a hardwired Ethernet connection (Wi-Fi not acceptable) to ensure secure and stable connectivity
• Be able to attend a full 4–6 week training program without interruptions, demonstrating your commitment to excellence
• Have a High School Diploma or GED, with preferred experience in healthcare insurance and call center environments
• Pass an assessment prior to submittal, showcasing your skills and knowledge in customer service and healthcare support
• Include the following information at the top of your resume: internet speed test results, confirmation of hardwired connection, confirmation of ability to attend all training, and Oklahoma residency

Preferred Qualifications:

While not required, the following qualifications are highly desirable:

• Previous experience in a high-volume call center environment, with a proven track record of success
• Knowledge of healthcare insurance plans, policies, and procedures, with the ability to apply this knowledge in a customer-facing role
• Excellent communication and interpersonal skills, with the ability to build strong relationships with members, providers, and colleagues
• Strong problem-solving and analytical skills, with the ability to resolve complex customer concerns and issues
• Proficiency in customer relationship management (CRM) software and other relevant technologies

Career Growth and Development:

At blithequark, we are committed to the growth and development of our team members. As a Customer Service Representative, you will have access to:

• Comprehensive training programs, designed to enhance your skills and knowledge in customer service and healthcare support
• Ongoing coaching and feedback, to help you achieve your full potential and advance in your career
• Opportunities for professional development, including workshops, webinars, and conferences
• A supportive and collaborative work environment, with a team of experienced professionals who are passionate about delivering exceptional customer experiences

Work Environment and Company Culture:

At blithequark, we pride ourselves on our positive and inclusive work environment. As a remote team member, you will be part of a dynamic and supportive community that values:

• Empathy and compassion, with a focus on delivering exceptional customer experiences
• Integrity and transparency, with a commitment to ethical business practices
• Innovation and creativity, with a focus on finding new and better ways to support our members and providers
• Teamwork and collaboration, with a emphasis on building strong relationships and achieving common goals

Compensation and Benefits:

We offer a competitive hourly rate of $18.00, with opportunities for advancement and professional growth. Our benefits package includes:

• Comprehensive health insurance, with medical, dental, and vision coverage
• 401(k) retirement plan, with company match
• Paid time off, including vacation, sick leave, and holidays
• Opportunities for professional development and career advancement

Conclusion:

If you are a motivated and compassionate individual with a passion for customer service, we invite you to join our team as a Customer Service Representative – Remote (OK Residents Only). With your skills and experience, you will play a critical role in delivering exceptional customer experiences and supporting the healthcare needs of our members and providers. Apply now to take the first step in an exciting and rewarding career with blithequark!