Concierge Customer Service Representative – Healthcare Industry Expert

At blithequark, we're committed to delivering exceptional customer experiences that exceed our clients' expectations. As a Concierge Customer Service Representative, you'll play a vital role in providing top-notch support to our members and healthcare providers, ensuring seamless interactions and resolving complex issues with tact and diplomacy. If you're passionate about delivering world-class customer service and have a knack for navigating the intricacies of the healthcare industry, we want to hear from you!

About blithequark

blithequark is a leading provider of innovative healthcare solutions, dedicated to empowering individuals and organizations to achieve their goals. Our team of experts is passionate about delivering exceptional results, and we're committed to fostering a culture of collaboration, innovation, and continuous learning. As a remote employee, you'll enjoy the flexibility to work from the comfort of your own home, while still being part of a dynamic and supportive team.

Key Responsibilities

As a Concierge Customer Service Representative, you'll be responsible for:

• Responding to telephone and email inquiries from members and providers within 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
• Documenting all calls received in system-based call log
• Performing other duties and responsibilities as assigned by management

Requirements and Skills

To succeed in this role, you'll need:

• A minimum of a High School Diploma or GED, with a preference for 2 years of college or higher education
• At least one year of experience in customer service or call center experience in a healthcare-related role
• Medical Intake or Third-Party Administrator (TPA) experience is a plus
• Bilingual English-Spanish skills are a plus
• Strong customer relations, interpersonal, and communication skills
• Ability to handle confidential and sensitive information with discretion
• Proficiency with Microsoft applications and strong computer skills
• 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
• Ability to multi-task and anticipate potential needs/problems
• Strong attention to detail
• Medical Terminology knowledge
• Understanding of Self-Funded health benefits is a plus
• Claim processing skills are a plus
• Insurance verification or pre-certification skills are a plus

Work Environment and Physical Demands

This position is a remote work opportunity, requiring a typical home office environment with prolonged sitting in front of a computer. You'll need to have hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including a computer and phone.

Compensation and Benefits

We offer a competitive salary range of $16 to $18 per hour, with opportunities for career growth and professional development. As an equal opportunity employer, we're committed to providing a diverse and inclusive work environment, including disability and veterans' support.

How to Apply

If you're passionate about delivering exceptional customer service and have a knack for navigating the intricacies of the healthcare industry, we want to hear from you! Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you!

Shift and Work Location

This position is available for day shift, with the opportunity to work remotely from the comfort of your own home. Apply for this job