Experienced Customer Service Representative – Call Center Expert for Medicare Benefits and Insurance Claims Handling at blithequark
Introduction to blithequark and the Industry blithequark is a leading global technology and professional services company that delivers consulting, technology, and mission services to every major agency across the U.S. government, defense, and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber, and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology. The healthcare industry is rapidly evolving, with a growing need for skilled professionals who can provide exceptional customer service and support to individuals navigating complex insurance claims and Medicare benefits. As a Customer Service Representative at blithequark, you will play a vital role in ensuring that our customers receive the highest level of service and support, while also contributing to the success of our organization. Job Summary We are seeking an experienced and skilled Customer Service Representative to join our team at blithequark. As a Customer Service Representative, you will be responsible for responding to customer inquiries regarding Coordination of Benefits, Medicare Secondary Payer claims, and billing questions within a fast-paced call center environment. You will provide knowledgeable and courteous responses to customers, while also ensuring that all interactions are handled in a professional and timely manner. Key Responsibilities Provide knowledgeable and courteous responses to customer inquiries regarding Coordination of Benefits, Medicare Secondary Payer claims, and billing questions Respond to escalated, high-priority, or supervisor calls in a professional and timely manner Assist with side-by-side mentoring for new employees during and after training as needed Assist in monitoring and analyzing the quality of all department work and recommend actions for improvement Maintain up-to-date knowledge of COB, COB-R, and MSP regulations and policies as they apply to inquiries handled by the call center Assist in information reporting and development as needed Adhere to the Privacy Act and HIPAA laws and regulations as they relate to the confidentiality of information released Proofread documents for grammatical correctness and adherence to standards and formats Frequent internal contacts with Customer Service Managers, Call Center Supervisors, Lead Training Specialist, Operations Representative, other Customer Service Reps, and other contractors and government personnel supporting the program Assume coordination responsibility for the department in the absence of supervisory staff Assist in the design, development, and writing of BCRC area processing procedures and maintain department records Cross-trained agents (Recovery/Data Collection) may be asked to process BIL emails, which involves following a step-by-step process to review the request, conduct necessary research, and make valid updates to beneficiaries' records Essential Qualifications High School Diploma or GED required, with the ability to provide proof of diploma or GED 6+ months of customer service/telemarketing/secretarial experience required Must be able to type 20 WPM; 30 WPM preferred Experience working with a PC and in a Windows environment is required Ability to be flexible to work any 8.5-hour shift (30 minutes for lunch) between the hours of 6:50am - 7:15pm Monday through Friday required Flexibility to work some blithequark holidays and overtime required Demonstrated ability to communicate in English effectively; both verbally and in writing is required Must be within commuting distance to Las Cruces, NM and be able to be onsite for the first 8-12 weeks of training Must be able to obtain a Public Trust clearance Preferred Qualifications Previous experience with medical claims and billing is preferred 2+ years of progressively responsible work experience in a customer service, medical claims, call center, or a secretarial position is preferred Proven ability to work effectively as a team member Ability to organize simultaneous tasks for individual assignments and the workflow of others Ability to prioritize and complete tasks to meet contract standards is required Spanish fluency is a plus Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have access to comprehensive training and career growth opportunities, including: Extensive benefit package that starts day 1 of employment No weekends Generous PTO and holidays 401K matching Comprehensive training and career growth opportunities Work Environment and Company Culture At blithequark, we pride ourselves on our positive and supportive work environment. Our company culture is built on the values of integrity, respect, and teamwork, and we strive to create a workplace where our employees feel valued, supported, and empowered to succeed. As a Customer Service Representative, you will be part of a dynamic and fast-paced team that is dedicated to providing exceptional customer service and support. Compensation, Perks, and Benefits At blithequark, we offer a competitive compensation package that includes a salary range of $43,888 - $0, depending on experience, geographic location, and contractual requirements. In addition to our comprehensive benefit package, we also offer: Full flex work weeks where possible Paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement, and jury duty leave 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match Short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness, and business travel and accident insurance Conclusion If you are a motivated and customer-focused individual who is looking for a challenging and rewarding career opportunity, we encourage you to apply for the Customer Service Representative position at blithequark. As a member of our team, you will have the opportunity to make a positive impact on the lives of our customers, while also contributing to the success of our organization. Don't miss out on this exciting opportunity to join our team and start your career with blithequark today!