Experienced Customer Service Representative – Behavioral Health Advocate and Support Specialist (Monday-Friday 10:45am -7:15pm EST)

Remote Full-time
Welcome to blithequark At blithequark, we are dedicated to building a world of health and wellness around every individual, and we are passionate about transforming the healthcare landscape. As a leading health solutions company, we reach millions of people through our local presence, digital channels, and a team of over 300,000 purpose-driven colleagues who are committed to caring for individuals where, when, and how they choose. We strive to provide care that is uniquely more connected, more convenient, and more compassionate, and we do it all with heart, every day. Job Overview blithequark has an exciting opportunity available for a full-time Customer Service Representative in our Behavioral Health team. As a Customer Service Representative, you will play a vital role in providing advocate care to our members, assisting them with a clear path to care, claims understanding and resolution, and educating them on online resources. You will guide our members through their plan of benefits, blithequark policies and procedures, and have knowledge of resources to comply with regulatory guidelines. Position Summary In this role, you will be responsible for creating an empathetic connection with our members, understanding and engaging with them to champion their best health. You will take accountability for fully understanding our members' needs, building trusting and caring relationships, and anticipating their needs by answering unasked questions. You will also perform reviews of member claim history, ensure accurate tracking of benefit maximums and/or coinsurance/deductible, and explain members' rights and responsibilities in accordance with their contract. Key Responsibilities Creates an empathetic connection with our members by understanding and engaging with them to champion their best health Takes accountability for fully understanding our members' needs, building trusting and caring relationships, and anticipating their needs by answering unasked questions Performs reviews of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible Performs financial data maintenance as necessary Explains members' rights and responsibilities in accordance with their contract Provides advocate care to assist members with a clear path to care, claims understanding and resolution, and educates them on online resources Guides members through their plan of benefits, blithequark policies and procedures, and has knowledge of resources to comply with regulatory guidelines Work Schedule and Requirements The schedule for this role is Monday-Friday 10:45am -7:15pm EST. Please note that schedules are subject to change at any time with advanced notice due to business needs. As a 24-hour call center operation, we will treat holidays as normal working business days, unless you have been approved for time off. This means you would work your normal shift if the company-observed holiday falls on your normal workday. No PTO is available during the first 45 days of employment. The first six weeks of employment will be dedicated to training, which will take place on Monday-Friday 9:00AM-5:30PM EST. Workspace Requirements To be successful in this role, you must have a quiet and secure workspace in your home. We recommend the following technical requirements when obtaining your own residential internet service: Select an internet service that is either broadband or fiber (e.g., Verizon Fios, Comcast) Select a minimum of 25mbps/3mbps. Remember, the higher the speed, the faster your internet A hardwired connection is required (ethernet connection); a wireless connection will introduce the risk of performance degradation Consider the internet usage of others in the household during your scheduled working hours. You may need to obtain a higher speed internet connection so your ability to perform your work is not affected. Streaming video content and gaming will significantly reduce the amount of bandwidth available for your corporate equipment Qualifications Required Qualifications 1+ years of experience in a call center environment Experience using Microsoft Office products, specifically Excel, Outlook, and Word High School Diploma or GED Preferred Qualifications Previous Behavioral Health, Medical, or Insurance background Experience working from home in a remote role What We Offer At blithequark, we are committed to fostering a workplace where every colleague feels valued and that they belong. We take pride in our comprehensive and competitive mix of pay and benefits, investing in the physical, emotional, and financial wellness of our colleagues and their families to help them be the healthiest they can be. Our benefits include: Affordable medical plan options A 401(k) plan (including matching company contributions) An employee stock purchase plan No-cost programs for all colleagues, including wellness screenings, tobacco cessation, and weight management programs, confidential counseling, and financial coaching Benefit solutions that address the different needs and preferences of our colleagues, including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility The typical pay range for this role is $17.00 - $34.15 per hour. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors, including experience, education, geography, and other relevant factors. This position is eligible for a blithequark bonus, commission, or short-term incentive program in addition to the base pay range listed above. Career Growth and Development At blithequark, we are committed to helping our colleagues grow and develop in their careers. We offer a range of training and development programs, including on-the-job training, mentorship, and career advancement opportunities. We believe in promoting from within and providing our colleagues with the tools and resources they need to succeed in their roles and advance in their careers. Company Culture At blithequark, we are passionate about creating a workplace culture that is inclusive, diverse, and supportive. We believe in fostering a culture of empathy, compassion, and kindness, and we strive to create an environment where every colleague feels valued, respected, and empowered to be their best self. We are committed to making a positive impact in our communities and to being a responsible and sustainable business. How to Apply If you are a motivated and compassionate individual who is passionate about providing exceptional customer service and making a positive impact in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to be considered for this role. We look forward to hearing from you! Equal Employment Opportunity blithequark is an equal employment opportunity employer. We are committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome applications from qualified candidates and encourage diversity in the workplace.
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