**Customer Solutions Expert Lead & Verifications - Driving Excellence in Customer Experience**

Remote Full-time
Are you a seasoned professional with a passion for delivering exceptional customer experiences? Do you thrive in fast-paced environments where no two days are ever the same? If so, we invite you to join blithequark's dynamic team as a Customer Solutions Expert Lead & Verifications. In this pivotal role, you will serve as a subject matter expert, providing guidance and support to staff while driving results and promoting a culture of excellence. **About blithequark** blithequark is a leading organization in the industry, renowned for its commitment to innovation, customer satisfaction, and employee development. Our team is dedicated to delivering exceptional experiences that exceed our customers' expectations. As a Customer Solutions Expert Lead & Verifications, you will be part of a collaborative and dynamic environment where your skills and expertise will be valued and nurtured. **Responsibilities** As a Customer Solutions Expert Lead & Verifications, you will be responsible for: **Primary Responsibilities** * Act as the first point of contact for escalated calls and requests, providing timely and effective solutions * Assign work to associates, ensuring efficient call volume activity and management * Maintain daily boards updates, metrics, and messages, ensuring seamless communication * Monitor and/or complete production, as applicable, to meet business objectives * Manage payer, provider, and patient complaint resolution, ensuring high levels of customer satisfaction * Work with supervisors and staff employees to drive efficient call volume activity and management * Collaborate with supervisors to create efficient work plans and daily assignments * Support cross-functional process improvement efforts, identifying areas of opportunity and recommending solutions * Stay up-to-date with technological and industry developments, applying this knowledge to drive business growth * Perform other duties as required or assigned, demonstrating flexibility and adaptability **Secondary Responsibilities** * Promote staff reliability, encouraging a culture of accountability and excellence * Foster frequent communication among all staff members, ensuring seamless collaboration * Respond to calls and emails in a timely manner, providing exceptional customer service * Be proficient with entering information into the CART system, ensuring accurate and efficient data management * Develop and administer operational policy, ensuring compliance with regulatory requirements * Act as a resource for Customer Service Representatives, providing guidance and support on process issues * Monitor sensitive State Reports, ensuring accurate and timely reporting * Develop and administer operational policy, ensuring compliance with regulatory requirements **Qualifications** To succeed in this role, you will need: * A High School Diploma or equivalent, plus one year of experience in a CareCentrix Operations role * Expert knowledge of department systems and processes, blithequark business protocols, and regulatory knowledge * Ability to lead by example, demonstrating a strong work ethic and commitment to excellence * Excellent communication (verbal/written), organizational, and interpersonal skills * Ability to manage multiple tasks, prioritize effectively, and demonstrate independent thought and critical thinking * Strong organizational and interpersonal skills, with the ability to effectively manage and prioritize multiple tasks * Detail-oriented, responsive, and able to problem-solve difficult situations with internal and external customers and process/systems issues **What We Offer** As a valued member of our team, you can expect: * Competitive starting pay for external hires, ranging from $20.00 to $24.00 per hour, plus a monthly incentive bonus opportunity * A comprehensive benefits package, including Health, Dental, and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match * Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training, and more * Advancement opportunities, professional skills training, and tuition/exam reimbursement * Access to PayActiv, allowing you to access earned income in between paychecks * Walgreens Discount, offering up to 25% off eligible items * A great culture with a sense of community, where your contributions are valued and recognized **Equal Opportunity Employer** blithequark is an equal opportunity employer, committed to diversity and inclusion. We select candidates based on merit, skills, and experience, without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law. **How to Apply** If you are a motivated and results-driven professional with a passion for delivering exceptional customer experiences, we invite you to apply for this exciting opportunity. Please submit your application through the link below: We look forward to welcoming you to our dynamic team at blithequark!
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