Experienced Remote Customer Service Advisor for Healthcare Industry – Utilizing Exceptional Problem-Solving Skills and Strong Customer Service Background

Introduction to blithequark At blithequark, we are passionate about delivering exceptional customer experiences in the healthcare industry. As a leading provider of innovative solutions, we are committed to making a positive impact on the lives of our members and healthcare providers. With a strong foundation in IT solutions and services, we have established ourselves as a trusted partner for clients across multiple continents and 66 countries. Our team of dedicated professionals is driven by a shared vision of excellence, and we are excited to welcome like-minded individuals to join our dynamic team. Position Overview We are seeking a highly skilled and motivated Customer Service Advisor to join our remote team in Alabama. As a Health Insurance Customer Service Advocate, you will play a critical role in providing exceptional support to our members and healthcare providers. Your primary responsibilities will include working with members and healthcare providers to create and review prior authorization requests, enrolling members in specialized programs, and ensuring seamless communication between all parties involved. Key Responsibilities: Respond to inbound calls from members and healthcare providers, addressing their concerns and providing timely resolutions Review and document required information to ensure accurate case setup and maintenance Research and determine the best course of action for each case, using available resources such as medical policies and standard operating procedures Demonstrate proficiency in decision-making and problem-solving, using critical thinking skills to resolve complex issues Make outbound calls to providers and/or members as needed, to obtain additional information or coordinate appointments Maintain accurate records and documentation, ensuring compliance with regulatory requirements and company standards Collaborate with internal teams to ensure seamless communication and effective issue resolution Meet production, quality, and regulatory expectations, adhering to established metrics and benchmarks Essential Qualifications: To be successful in this role, you will need to possess the following essential qualifications: High School Diploma or GED (or higher), with documentation available for verification 2+ years of combined or related experience in healthcare administration, with a strong understanding of medical terminology 1+ year of call center experience, with a proven track record of providing exceptional customer service Proficiency in Microsoft Office applications, including Word, Excel, and Outlook Typing speed of 35+ words per minute, with accuracy and attention to detail Ability to follow a script for every call, while also demonstrating flexibility and adaptability in response to changing situations Dedicated work area established, with high-speed internet connectivity (20mbps upload/download speed) and compliance with HIPAA regulations Ability to work varying shifts, including evenings and weekends, to support our 24/7 operations Preferred Qualifications: While not required, the following preferred qualifications will be considered an asset: Associate's Degree (or higher) in a healthcare-related field, with a strong foundation in medical terminology and concepts Knowledge of ICD-9/ICD-10 and CPT coding systems, with experience in applying these codes in a healthcare setting Previous experience working in a call center environment, with a focus on healthcare or customer service Career Growth Opportunities and Learning Benefits: At blithequark, we are committed to the growth and development of our team members. As a Customer Service Advisor, you will have access to a range of training and development opportunities, including: Comprehensive onboarding program, with training on our systems, processes, and policies Ongoing coaching and feedback, to support your continued growth and development Opportunities for career advancement, with a clear path for progression within the company Access to a range of learning resources, including online courses, webinars, and industry events Work Environment and Company Culture: At blithequark, we pride ourselves on our dynamic and supportive work environment. As a remote team member, you will be part of a close-knit community of professionals who are passionate about delivering exceptional customer experiences. Our company culture is built on the following core values: Customer-centricity, with a focus on delivering exceptional service and support Collaboration and teamwork, with a emphasis on open communication and mutual respect Innovation and creativity, with a willingness to embrace new ideas and approaches Integrity and accountability, with a commitment to doing what is right and taking ownership of our actions Compensation, Perks, and Benefits: As a valued member of our team, you will be eligible for a range of compensation, perks, and benefits, including: Competitive salary, with opportunities for growth and advancement Comprehensive benefits package, including medical, dental, and vision coverage 401(k) matching program, with a generous company contribution Paid time off, including vacation days, sick leave, and holidays Opportunities for professional development and growth, with a focus on ongoing learning and development Conclusion: If you are a motivated and customer-focused individual, with a passion for delivering exceptional service and support, we encourage you to apply for this exciting opportunity. As a Customer Service Advisor at blithequark, you will be part of a dynamic team that is dedicated to making a positive impact on the lives of our members and healthcare providers. With a range of career growth opportunities, learning benefits, and a supportive work environment, this is an ideal role for anyone looking to take their career to the next level. Apply now to join our team and start making a difference in the healthcare industry!