Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry? Do you thrive in a dynamic, fast-paced environment where no two days are ever the same? If so, we invite you to join our team of dedicated professionals at blithequark, a leading innovator in health solutions that empower better health outcomes. **About blithequark** At blithequark, we're driven by a shared mission to revolutionize the healthcare industry through cutting-edge technology, clinical expertise, and a passion for delivering maximum value and impact. Our team of experienced leaders, clinicians, pioneering technologists, and industry professionals come together to redefine expectations and push the boundaries of what's possible. As a vital partner for health solutions in the public sector, we're proud to work alongside state and federal healthcare agencies, providers, and employers to ensure better healthcare and improve health outcomes nationwide. **Job Summary** We're seeking an experienced Customer Service Representative to join our growing team of passionate individuals dedicated to delivering exceptional customer experiences. As a key member of our team, you'll play a critical role in answering incoming telephone calls, resolving customer questions, complaints, and requests, and utilizing your working knowledge of internal policies and procedures to meet productivity and quality standards. **Key Responsibilities** * Develop and maintain a working knowledge of internal policies, procedures, and services (both departmental and operational) * Utilize automated systems to log and retrieve information; Perform accurate and timely data entry of electronic faxes * Receive inquiries by telephone, email, fax, or mail and communicates response within required turnaround times * Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures * Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients * Perform verification of healthcare services to facilitate payment for received services * Identify medical claims meeting CPT/DRG audit criteria and submits the necessary billing data and healthcare records to the third-party auditor * Serve as liaison between the internal and external partners * Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party * Meet or exceed standards for call volume and service level per department guidelines * Initiate cases by collecting and entering demographic, provider, and procedure information into the system * May be responsible for the completion of daily, monthly, and quarterly reports necessary for the clinical team operations and client reporting **Requirements** * High School diploma or equivalent * Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications * Effective verbal and listening skills to provide courteous and professional customer service **Preferred Qualifications/Experience** * Knowledge of the health insurance industry * Experience working in a healthcare setting * Medical terminology knowledge is preferred * Bilingual (Spanish/English) skills are a plus * Minimum of two years of customer service experience **Why Join blithequark?** * Meaningful work that genuinely improves people's lives nationwide * Opportunities for career growth and professional development * Collaborative and dynamic work environment * Comprehensive benefits package, including health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more * Competitive compensation package, with a pay range of $15.48-$17.20 an hour **What We Offer** * A comprehensive benefits package that includes: + Comprehensive health plans + Paid time off + Retirement savings + Corporate wellness + Educational assistance + Corporate discounts * A competitive compensation package, with a pay range of $15.48-$17.20 an hour * Opportunities for career growth and professional development * A collaborative and dynamic work environment * The chance to make a meaningful impact in the healthcare industry **How to Apply** If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the healthcare industry, we invite you to apply for this exciting opportunity. Please visit our website at blithequark.com/careers to submit your application. We look forward to hearing from you! **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, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law. **EOE AA M/F/Vet/Disability** blithequark is committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees. We are an Equal Opportunity Employer and welcome applications from qualified candidates of all backgrounds. Apply for this job