Senior Customer Service Representative – Healthcare and Medicare Expertise for Exceptional Patient Support

Introduction to blithequark

At blithequark, we are dedicated to delivering outstanding healthcare services that make a meaningful difference in the lives of our patients. As a leader in the healthcare industry, we strive to provide innovative solutions, exceptional customer service, and unparalleled support to our customers. Our commitment to excellence has earned us a reputation as a trusted partner in the healthcare community. We are now seeking a highly skilled and experienced Senior Customer Service Representative to join our team, where you will play a vital role in providing top-notch support to our customers and contributing to the success of our organization.

Job Overview

As a Senior Customer Service Representative at blithequark, you will be responsible for providing exceptional customer service to our customers via inbound Call Center Operations. You will serve as a mentor to new call center agents, support the improvement of your peers, and ensure that every customer interaction meets the highest standards of quality and satisfaction. Your expertise in healthcare and Medicare will be essential in navigating complex customer inquiries, resolving issues, and providing accurate information to our customers.

Key Responsibilities

• Receive and respond to inbound phone calls for customer assistance, ensuring prompt and professional service.
• Respond to outbound phone call requests, following up on customer inquiries and resolving issues in a timely manner.
• Document all calls in ticketing and tracking systems, maintaining accurate and detailed records of customer interactions.
• Respond to customer inquiries and provide data to customers within required time frames, ensuring that our customers receive the information they need to make informed decisions.
• Function as a liaison between the claims department and providers, facilitating communication and resolving issues efficiently.
• Research customer claims in primary payor systems, utilizing your knowledge of healthcare and Medicare to provide accurate and helpful information.
• Ensure the highest level of customer service on every call, consistently meeting or exceeding customer expectations and promoting a positive experience.

Requirements and Qualifications

To be successful in this role, you will need to possess a deep understanding of covered plan benefits, as well as knowledge of physician practice and hospital coding, billing, and medical terminology. You should be comfortable taking escalated calls and issues, utilizing your experience and expertise to resolve complex problems. Additionally, you will need to have a basic understanding of MS Office applications, particularly Word and Excel.

Essential Qualifications

• 3+ years of experience in a Healthcare Call Center operations, including Medicare/Medicare Advantage.
• High school degree required, with a preference for candidates who have completed a degree in a related field, such as healthcare administration or a similar discipline.
• Proven track record of providing exceptional customer service, with a strong focus on patient satisfaction and support.
• Excellent communication and interpersonal skills, with the ability to work effectively with customers, colleagues, and other stakeholders.

Preferred Qualifications

• Experience with Customer Service software, with the ability to list specific examples of software used in previous roles.
• Healthcare Call center experience: 2 years (Required), with a preference for candidates who have worked in a similar role for 3+ years.
• Availability to work Day Shift (Preferred) and Night Shift (Preferred), with flexibility to adapt to changing schedules and priorities.

Career Growth and Development

At blithequark, we are committed to the growth and development of our employees. As a Senior Customer Service Representative, you will have access to ongoing training and development opportunities, including mentorship programs, workshops, and conferences. You will be encouraged to pursue continuing education and professional certifications, with support from our organization to help you achieve your career goals.

Work Environment and Company Culture

Our company culture is built on a foundation of respect, empathy, and compassion. We believe in fostering a positive and inclusive work environment, where every employee feels valued, supported, and empowered to succeed. As a remote worker, you will be part of a dynamic and distributed team, with opportunities to collaborate with colleagues from diverse backgrounds and perspectives.

Compensation and Benefits

We offer a competitive compensation package, with a hourly rate of $17.00 - $19.00 per hour. In addition to your salary, you will be eligible for a range of benefits, including health insurance, retirement savings, and paid time off. You will also have access to a range of perks and discounts, including employee assistance programs, wellness initiatives, and professional development opportunities.

Conclusion

If you are a motivated and experienced customer service professional, with a passion for healthcare and a commitment to delivering exceptional patient support, we encourage you to apply for this exciting opportunity. As a Senior Customer Service Representative at blithequark, you will be part of a talented and dedicated team, working together to make a meaningful difference in the lives of our customers. Don't miss this chance to join our team and take your career to the next level – apply now to become a part of the blithequark family!