**Experienced Customer Service Representative - Call Center for Medicare and Insurance Benefits Coordination**

Remote Full-time
Are you passionate about delivering exceptional customer service and helping individuals navigate complex insurance claims and Medicare benefits? Do you thrive in a fast-paced call center environment where no two calls are ever the same? If so, we invite you to join blithequark, a leading global technology and professional services company, as a Customer Service Representative for our Medicare and Insurance Benefits Coordination (BCRC) program. At blithequark, we're committed to harnessing the power of technology to create a safer, smarter world. Our team of experts works tirelessly to deliver innovative solutions that meet the evolving needs of our clients across the U.S. government, defense, and intelligence community. As a Customer Service Representative, you'll play a vital role in helping us achieve our mission by providing top-notch support to our customers. **About the Role** As a Customer Service Representative, you'll be responsible for responding to inquiries from customers regarding Coordination of Benefits, Medicare Secondary Payer claims, and billing questions. You'll work in a remote call center environment, interacting with customers via phone, email, and chat. Your primary goal will be to resolve customer issues efficiently and effectively, ensuring that our customers receive the support they need to navigate complex insurance claims and Medicare benefits. **Responsibilities** * Respond to escalated, high-priority, or supervisor calls in a courteous and professional manner * Provide knowledgeable responses to customer inquiries regarding Coordination of Benefits, Medicare Secondary Payer claims, and billing questions * Assist with side-by-side mentoring for new employees during and after training as needed * Assist in monitoring and analyzing 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 and 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 department in absence of supervisory staff * Assist in the design, development, and writing of BCRC area processing procedures and maintain department records * Cross-trained agents 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 **Requirements** * 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 **What We Offer** * Extensive benefit package that starts day 1 of employment * No weekends * Generous PTO and holidays * 401K matching * Comprehensive training and career growth * Opportunity to work on a federal contract and contribute to the success of blithequark's Medicare and Insurance Benefits Coordination program * Collaborative and dynamic work environment with a team of experts dedicated to delivering innovative solutions * Flexible work arrangements, including remote work options and flexible scheduling * Access to cutting-edge technology and tools to support your success * Opportunities for professional growth and development, including training and mentorship programs * Recognition and rewards for outstanding performance and contributions to the team **Total Rewards at blithequark** Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 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. To encourage work/life balance, blithequark offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement, and jury duty leave. blithequark typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The blithequark Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12-month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness, and business travel and accident insurance are provided or available. **Join Our Team** If you're passionate about delivering exceptional customer service and helping individuals navigate complex insurance claims and Medicare benefits, we invite you to join our team at blithequark. Apply now to become a Customer Service Representative for our Medicare and Insurance Benefits Coordination program.
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