**Experienced Customer Service Representative – Remote Opportunity with blithequark**

Are you an experienced customer service professional seeking a new challenge in a rapidly growing national quality improvement and care management organization? Do you value care management and quality improvement, and are you motivated, energetic, and excited to become part of a dynamic team? If so, you might be our next new team member at blithequark! **About blithequark** blithequark is a leading national quality improvement and care management organization dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. We are a mission-driven organization that values people-focused and driven to improve lives through healthcare quality and clinical expertise. Our team is passionate about making a real difference in the lives of individuals across the country, and we are committed to providing the training and support to help our employees excel in their careers. **Why Join blithequark?** At blithequark, you will have the opportunity to shape the future of healthcare while working in a fast-paced and dynamic call center environment. Our team is dedicated to delivering exceptional customer service, and we are committed to providing a comprehensive benefits package that includes comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Our benefits are designed to provide you and your family with additional protection, security, and support for both your career and your life away from work. **Key Responsibilities** As a Customer Service Representative at blithequark, you will be responsible for supporting the prior authorization process by answering incoming telephone calls, resolving customer questions, complaints, and requests while adhering to internal policies and procedures. Your duties will include: * Developing and maintaining working knowledge of internal policies, procedures, and services (both departmental and operational) * Utilizing automated systems to log and retrieve information, and performing accurate and timely data entry of electronic faxes * Receiving inquiries from customers or providers by telephone, email, fax, or mail, and communicating responses within required turnaround times * Responding to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures * Interacting with hospitals, physicians, beneficiaries, or other program recipients * Investigating and resolving or reporting customer problems, identifying and escalating difficult situations to the appropriate party * Meeting or exceeding standards for call volume and service level per department guidelines * Initiating files by collecting and entering demographic, provider, and procedure information into the system * Serving as a liaison between the Review Supervisors and external providers * Maintaining logs and documents disposition of incoming and outgoing calls **Essential Qualifications** To be successful in this role, you will need: * A High School diploma or equivalent * Medical terminology course(s) helpful * 2+ years customer service/telephone experience in a similar call center environment and/or industry * Ability to speak English fluently enough to be clearly understood over the telephone * Ability to use phone system effectively * Ability to research and investigate * Ability to follow confidentiality policies and procedures * Ability to navigate and use electronic equipment and systems easily and proficiently * Ability to multitask on a personal computer while conducting telephone conversations * Ability to work in a fast-paced call center environment * Ability to remain calm and courteous when handling difficult calls and requests **Preferred Qualifications** While not required, the following qualifications are preferred: * Bilingual Spanish-English * Effective verbal and listening skills to provide courteous and professional customer service * Effective PC skills including, electronic mail, intranet, and industry standard applications **Career Growth Opportunities and Learning Benefits** At blithequark, we are committed to providing our employees with the training and support to excel in their careers. Our team is passionate about making a real difference in the lives of individuals across the country, and we offer a range of career growth opportunities and learning benefits, including: * Comprehensive training programs to help you develop your skills and knowledge * Opportunities for professional development and advancement * Collaborative and dynamic work environment * Recognition and rewards for outstanding performance * Opportunities for continuing education and professional certification **Work Environment and Company Culture** blithequark is a rapidly growing national quality improvement and care management organization that values people-focused and mission-driven. Our team is passionate about making a real difference in the lives of individuals across the country, and we are committed to providing a comprehensive benefits package that includes comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Our benefits are designed to provide you and your family with additional protection, security, and support for both your career and your life away from work. **Compensation, Perks, and Benefits** At blithequark, we offer a comprehensive benefits package that includes: * Comprehensive health plans * Paid time off * Retirement savings * Corporate wellness * Educational assistance * Corporate discounts * And more! **How to Apply** If you are a motivated, energetic, and enthusiastic customer service professional seeking a new challenge in a rapidly growing national quality improvement and care management organization, we encourage you to apply for this exciting opportunity at blithequark. Please submit your application through our website, and we will review your qualifications and experience to determine whether you are a good fit for our team. **Equal Opportunity Employer** blithequark is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Apply Job! Apply for this job