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**Experienced Customer Service Representative – Medicaid and Medicare Support**

Remote, USA Full-time Posted 2025-11-24
At blithequark, we're dedicated to revolutionizing the healthcare experience for our members, and we're seeking a talented and compassionate Customer Service Representative to join our team. As a key member of our customer service team, you will play a vital role in delivering exceptional support to our Medicaid and Medicare members and providers, ensuring they receive the highest level of care and attention. **About blithequark** blithequark is a leading healthcare organization committed to providing innovative solutions and exceptional customer service to our members. We believe that every individual deserves access to quality healthcare, and we're dedicated to making a meaningful difference in the lives of our members. Our team is passionate about delivering high-quality customer service, and we're looking for like-minded individuals to join our mission. **The Role** As a Customer Service Representative at blithequark, you will be responsible for providing exceptional telephone assistance to our Medicaid and Medicare members and providers. Your primary focus will be on addressing a variety of inquiries, including eligibility verification, provider changes, and requests for ID cards. You will be expected to communicate effectively and empathetically with each caller, ensuring they receive the support they need to navigate their healthcare options. **Key Responsibilities** * Answering incoming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits, and programs. * Providing excellent customer service to ensure a positive experience for callers. * Meeting performance standards, attendance requirements, and call quality goals. * Communicating effectively with members and providers both orally and in written form. * Maintaining high-speed internet connectivity with secure service via ethernet cable. **Requirements** * High School Diploma or equivalent GED. * Ability to communicate effectively with members and providers orally and in written form. * Ability to meet performance standards, attendance requirements, and call quality goals. * Must be able to work from home and prove to be self-sufficient. * Must commute to the office in Charleston, WV when unable to work from home due to prolonged technical problems. **Nice-to-Haves** * Experience with working remotely in a call center setting. * Experienced with Medicaid and Medicare. **Benefits** * Full range of medical, dental, and vision benefits. * 401(k) retirement savings plan. * Employee Stock Purchase Plan for eligible employees. * Fully-paid term life insurance plan for eligible employees. * Short-term and long-term disability benefits. * Numerous well-being programs. * Education assistance and free development courses. * CVS store discount and discount programs with participating partners. * Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. **What We Offer** At blithequark, we're committed to providing a supportive and inclusive work environment that fosters growth and development. As a Customer Service Representative, you will have the opportunity to: * Work from home with the flexibility to balance your work and personal life. * Develop your skills and knowledge through comprehensive training and ongoing development opportunities. * Make a meaningful impact in the lives of our members by providing exceptional customer service. * Collaborate with a talented and dedicated team of professionals who share your passion for delivering high-quality healthcare. **How to Apply** If you're a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you! **Equal Employment Opportunity** blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity and promotes equal opportunities for all employees. **Note** blithequark is a leading healthcare organization, and this role is a fantastic opportunity to join our team and make a meaningful difference in the lives of our members. If you're passionate about delivering exceptional customer service and are committed to enhancing the healthcare experience for our members, we encourage you to apply for this exciting opportunity. Apply for this job    

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