**Experienced Customer Service Representative – Remote Healthcare Support**

Remote Full-time
Are you a compassionate and empathetic individual with a passion for helping others? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? If so, we invite you to join our team of dedicated Customer Service Representatives at blithequark, a global Health Service company dedicated to improving the health and vitality of those we serve. As a Customer Service Representative at blithequark, you will play a vital role in helping patients understand their pharmacy benefits, navigate complex healthcare systems, and receive the support they need to manage their health. Our team is committed to delivering exceptional customer service, and we're looking for individuals who share our passion for making a difference in people's lives. **Responsibilities:** As a Customer Service Representative, you will be responsible for: - Answering inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Management (PBM) benefits, mail-order pharmacies, or Medicare. - Taking calls back-to-back while toggling through several applications on multiple screens. - Attending 100% of trainings and the first 90 days of employment. - Updating conversion requests and providing shipment status to members. - Facilitating the transition of requested medications to home delivery. - Advocating for the member patient by placing phone calls, fax, or other means to physician's office to obtain prescriptions and forward to pharmacy for fulfillment. - Obtaining new prescriptions from physician's office and recording approval status. - Serving incoming calls from doctors' offices. - Ensuring accurate and complete documentation is entered into the appropriate systems for all contacts (internal/external) to maintain the quality of the home delivery process, document HIPAA compliance, and reduce potential legal concerns. - Resolving questions and/or issues that may be preventing shipment of an order. - Upholding quality and productivity standards on all transactions. - Ensuring complete and accurate documentation into the appropriate systems to maintain quality and meet regulatory requirements. - Using active listening skills when members express concerns about medication coverage or costs and offering members options for a starting coverage review to meet regulatory requirements. - Understanding and striving to meet or exceed call center metrics while providing excellent consistent customer service. - Learning and demonstrating understanding of call handling, which includes compliance expectations and system navigation through several applications. **Qualifications:** To be successful in this role, you will need: - A High School diploma or equivalent. - At least 2-3 years of relevant experience in Healthcare and/or Call Center. - A dedicated workspace with no distractions. - Strong computer skills, including Microsoft Office. - Strong organization skills, written, and verbal communication skills. - Ability to provide exceptional listening and customer service skills; remain calm and helpful even when dealing with difficult callers. - Ability to adapt in a dynamic work environment, learn quickly, solve problems, and make decisions. - Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience. - Ability to work a flexible schedule, including Night and/or weekends. **Work Environment and Culture:** As a remote Customer Service Representative at blithequark, you will enjoy a flexible and autonomous work environment that allows you to work from the comfort of your own home. Our team is committed to delivering exceptional customer service, and we're looking for individuals who share our passion for making a difference in people's lives. **Benefits and Compensation:** We offer a comprehensive range of benefits, including: - Competitive hourly rate of $17 - $23 per hour, depending on relevant factors, including experience and geographic location. - Eligibility to participate in an annual bonus plan. - Comprehensive health-related benefits, including medical, vision, dental, and well-being and behavioral health programs. - 401(k) with company match. - Company-paid life insurance. - Tuition reimbursement. - A minimum of 18 days of paid time off per year and paid holidays. **About blithequark:** At blithequark, we're dedicated to improving the health and vitality of those we serve. Through our divisions, we are committed to enhancing the lives of our clients, customers, and patients. Join us in driving growth and improving lives. **Equal Employment Opportunity:** Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions, including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status, or any other characteristic protected by applicable equal employment opportunity laws. **Reasonable Accommodation:** If you require reasonable accommodation in completing the online application process, please email [insert email address] for support. Do not email [insert email address] for an update on your application or to provide your resume, as you will not receive a response. **Tobacco-Free Policy:** The blithequark Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. **Criminal History:** Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state, and local ordinances. **Apply Now:** If you're a motivated and compassionate individual who is passionate about delivering exceptional customer service, we invite you to apply for this exciting opportunity to join our team at blithequark.
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