**Experienced Concierge Customer Service Representative – Healthcare Industry Expert (Remote)**

Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in fast-paced environments where no two days are the same? If so, we invite you to join the dynamic team at blithequark as an Experienced Concierge Customer Service Representative. In this critical role, you will be the face of our organization, providing top-notch support to our members and providers while navigating the complexities of the healthcare industry. **About blithequark** blithequark is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals through exceptional service, cutting-edge technology, and a deep understanding of the ever-evolving healthcare landscape. We are committed to fostering a culture of collaboration, innovation, and growth, where our employees can thrive and make a meaningful impact. **Key Responsibilities** As an Experienced Concierge Customer Service Representative, you will be responsible for: * Responding to telephone and email inquiries from members and providers in a timely and professional manner, adhering to defined service standards * Negotiating with providers to gain acceptance for plans without network agreements and/or out of network providers * Assisting members with benefits and healthcare questions, providing clear and concise information to ensure their needs are met * Documenting all calls received in system-based call log, maintaining accurate and up-to-date records * Performing other duties or responsibilities as assigned, which may not be listed in this job description **Requirements and Qualifications** To succeed in this role, you will need: * A minimum of a High School Diploma or GED, with a preference for 2 years or higher education * At least one year of experience in customer service or call center roles, preferably in a healthcare-related field * Medical intake or Third-Party Administrator (TPA) experience is highly desirable * Bilingual English-Spanish skills are a plus * Strong customer relations, interpersonal, and communication skills * Ability to handle confidential and sensitive information with discretion and tact * Proficiency in Microsoft applications, with strong computer skills and navigation * Excellent data entry and typing skills * Knowledge of provider organizations and networks * Understanding of CMS Medicare reimbursement rates * Ability to effectively negotiate rate structures * Strong analytical and research skills * Medical terminology knowledge * Strong attention to detail * Ability to build relationships with internal and external customers * Independent judgment in decision-making and problem-solving * Ability to multi-task and anticipate potential needs/problems **Preferred Qualifications** * Experience in claim processing, insurance verification, or pre-certification * Understanding of Self-Funded health benefits * Provider office/facility billing department or financial area experience * Strong analytical and research skills **Work Environment and Physical Demands** This position is in a typical office/home office environment, requiring prolonged sitting in front of a computer. You will need hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including computers and phone systems. **Compensation and Benefits** We offer a competitive salary range of $16.00 to $18.00 per hour, depending on experience. Our comprehensive benefits package includes: * Medical, dental, and vision insurance * 401(k) retirement plan with company match * Paid time off and holidays * Opportunities for professional growth and development * A dynamic and supportive work environment **How to Apply** If you are a motivated and customer-focused individual with a passion for delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter outlining your qualifications and experience. **Equal Opportunity Employer** blithequark is an Equal Opportunity Employer, committed to diversity, equity, and inclusion. We welcome applications from qualified candidates of all backgrounds and perspectives. We are unable to sponsor applicants for employment and require all candidates to be authorized to work in the United States. **Apply Now!** Apply Job! Apply for this job