Experienced Customer Service Representative – Insurance Claims Resolution and Client Support Specialist at blithequark

Welcome to blithequark

Imagine working in a supportive and family-oriented environment where your contributions are valued, and your growth is nurtured. At blithequark, we pride ourselves on treating our employees like family, fostering a culture of politeness, persistence, and proactivity. With over 20 years of experience in the industry, we are committed to making a positive impact in the lives of our clients and employees alike. Located near downtown Amarillo, Texas, our office is the perfect blend of professionalism and warmth, making it an ideal place to build your career.

About the Role

We are seeking an experienced Customer Service Representative (CSR) to join our team at blithequark. As a CSR, you will play a vital role in resolving potential overpaid claims on behalf of our insurance clients by contacting medical, dental, and long-term care providers. This position requires effective communication and problem-solving skills, as you will be working in a fast-paced environment with a high volume of outbound calls. Your primary goal will be to maintain accurate records, resolve claims efficiently, and provide exceptional customer service to our clients and providers.

Key Responsibilities

• Politely and effectively communicate with medical, dental, and long-term care providers regarding identified insurance overpayments, ensuring timely resolution and excellent customer service.
• Persistently problem-solve and escalate issues as needed, demonstrating a proactive approach to claim resolution.
• Proactively make contact with providers, responding both verbally and in writing to ensure seamless communication and efficient claim processing.
• Maintain accurate and up-to-date records in our operating system, including points of contact, notes, and recovery stages, to ensure data integrity and compliance.
• Perform administrative duties such as creating notes, researching overpayments, sending emails and faxes, and other tasks as required, demonstrating attention to detail and organizational skills.
• Positively respond to coaching, mentoring, and feedback, embracing opportunities for growth and development.
• Achieve daily, weekly, and monthly recovery goals and metrics, contributing to the team's success and blithequark's mission.

Requirements

To be successful in this role, you will need:

• A High School Diploma or equivalent, demonstrating a foundation in education and a commitment to learning.
• Excellent computer skills, including intermediate Windows and MS Office skills, to efficiently navigate our operating system and perform administrative tasks.
• Excellent interpersonal skills, oral and written communication skills, to effectively interact with providers, clients, and colleagues.
• The ability to work independently, demonstrating self-motivation and discipline in a fast-paced environment.
• Attention to detail, accuracy, and precision in completing tasks, ensuring high-quality work and minimal errors.

Nice-to-Haves

While not required, the following skills and experiences are highly desirable:

• Experience in processing Long Term Care, Medical, Medicare, Medicaid, or Dental insurance billing or auditing, demonstrating a understanding of the industry and its complexities.
• Call center experience, showcasing your ability to work in a fast-paced environment and handle high volumes of calls.
• Customer service experience, highlighting your commitment to providing exceptional service and ensuring customer satisfaction.
• Mainframe, 'green screen' experience, or similar systems, demonstrating your ability to adapt to new technologies and systems.
• Expert knowledge of Microsoft Excel, Word, and Outlook, enabling you to efficiently perform administrative tasks and analyze data.

Benefits and Perks

At blithequark, we believe in rewarding our employees for their hard work and dedication. As a full-time employee, you can enjoy:

• Comprehensive medical, dental, vision, and life insurance, ensuring you and your loved ones are protected and healthy.
• Generous 401k contributions, helping you plan for your future and secure your retirement.
• Starting Paid Time Off (PTO) of 15 days in your first year, allowing you to relax, recharge, and pursue your passions.
• Holiday pay and time off to spend with your loved ones, recognizing the importance of work-life balance and family time.
• Fun Committee Activities, fostering a sense of community and camaraderie among colleagues.
• Work-from-Home opportunities, providing flexibility and autonomy in your work arrangements.

Career Growth and Development

At blithequark, we are committed to helping our employees grow and develop in their careers. As a CSR, you will have access to:

• Ongoing training and coaching, ensuring you have the skills and knowledge needed to excel in your role.
• Opportunities for advancement within the company, recognizing and rewarding your hard work and dedication.
• A supportive and collaborative work environment, fostering a sense of teamwork and camaraderie among colleagues.

Conclusion

If you are a motivated and customer-focused individual looking for a challenging and rewarding role, we encourage you to apply for the Customer Service Representative position at blithequark. With our supportive and family-oriented environment, comprehensive benefits package, and opportunities for growth and development, we believe you will find a fulfilling and long-term career with our team. Apply now and take the first step towards an exciting and rewarding career at blithequark!