Experienced Customer Service Representative – Healthcare Industry Expertise

At blithequark, we pride ourselves on fostering a dynamic work environment that empowers our team members to excel in their roles. As a leading organization in the industry, we understand the significance of exceptional customer service in shaping the perception of our brand. Our commitment to delivering outstanding experiences has earned us a reputation for excellence, and we're seeking a talented Customer Service Representative to join our team. About blithequark Headquartered in Washington, blithequark has established a strong presence across 26 sites in seven countries, employing a network of over 30,000 dedicated professionals. Our mission is to provide a supportive environment, comprehensive training, and competitive benefits to attract and retain top talent. We believe that a quality agent makes all the difference in delivering exceptional customer experiences, and we're committed to investing in our team members' growth and development. The Role As a Customer Service Representative at blithequark, you will play a vital role in providing top-notch support to our customers across multiple lines of business. Your primary responsibilities will include:

Key Responsibilities

• Resolving coordination of benefits inquiries by analyzing patient activity, including enrollment, third-party liability, claims attachments, and providing accurate information to customers.
• Developing a comprehensive understanding of insurance coverage and effectively communicating this knowledge to customers and dental professionals.
• Thoroughly documenting all customer interactions, ensuring accuracy and completeness.
• Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations, as well as the usage and benefits of self-service tools.
• Assisting members in gaining access to care by locating a network dentist or assigning them to a primary care dentist.
• Directing inquiries to necessary departments or individuals when the resolution of the inquiry exceeds the scope of this role.
• Responding to customer inquiries in a courteous and professional manner, providing accurate information to resolve all member and provider inquiries through verbal and written communications.
• Researching and resolving internal and external complex customer inquiries, taking ownership of the resolution and setting expectations for follow-up.
• Ensuring resubmissions, stop payments, and voids are handled appropriately.
• 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 service delivery processes, contributing to the success of the organization.

Qualifications To excel in this role, you will need to possess:

Essential Qualifications

• A High School Diploma or Equivalent.
• At least 2 years of experience in a high-volume customer service environment.
• Experience in the healthcare or related industry is preferred.
• The ability to multitask using multiple applications simultaneously.
• The ability to set up computer equipment and troubleshoot issues with minimal assistance.
• Professional verbal and written communication skills.
• The ability to operate a computer and knowledge of Microsoft Office applications.
• Strong organizational skills and attention to detail.
• The ability to work independently and as part of a team.
• Cooperative, professional, and effective interaction skills.
• Critical thinking and problem-solving skills.
• The ability to tolerate repetitive work without compromising accuracy and service levels.
• Willingness to attend additional training as requested or deemed necessary.

Preferred Qualifications

• Medical or dental terminology knowledge experience.
• Medicare or Medicaid knowledge.
• Claims or billing and coding experience.

Benefits and Perks As a valued member of our team, you will enjoy a comprehensive benefits package, including:

• Medical, Dental, and Vision insurance.
• A 401(k) Retirement Savings Plan.
• Paid Time Off.
• Paid T-Mobile cell service.
• A $500.00 Employee Referral Program.
• Access to Employee PerkSpot, offering discounts on retail, hotel, food, restaurants, car rental, and more!

Career Growth and Learning Opportunities At blithequark, we're committed to investing in our team members' growth and development. You'll have access to:

• Comprehensive training programs to enhance your skills and knowledge.
• Opportunities for career advancement and professional growth.
• A supportive and collaborative work environment that encourages learning and innovation.

Join the blithequark Team If you're a motivated and customer-focused individual with a passion for delivering exceptional experiences, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at blithequark, you'll have the chance to make a real difference in the lives of our customers and contribute to the success of our organization. Apply Now! Apply for this job