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Experienced Customer Service Representative for Healthcare Providers - Remote Opportunity in Tennessee with blithequark

Remote, USA Full-time Posted 2025-11-03

Transforming Healthcare through Exceptional Customer Service

At blithequark, we're revolutionizing the healthcare experience by creating healthier communities and breaking down barriers to quality care. Our work has a profound impact on the lives of millions, and we're committed to building a more responsive, affordable, and equitable healthcare system. If you're passionate about making a difference, join us and embark on a journey to do your life's best work.

Job Overview

We're seeking a skilled and dedicated Customer Service Representative to support healthcare providers who care for our members. As a key member of our team, you'll be responsible for delivering exceptional service to providers through phone calls and concurrent chats, addressing their queries, and resolving issues in a timely and professional manner.

Primary Responsibilities

  • Serve as the advocate for providers, demonstrating accountability and ownership to resolve issues and concerns.
  • Provide multi-channel support to providers, including phone calls and concurrent chats, to address their needs and queries.
  • Quickly and effectively triage contacts from healthcare professionals, identifying their needs and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health.
  • Research and analyze complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and prevent repeat calls, escalations, and provider dissatisfaction.
  • Collaborate with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
  • Utilize strong multitasking skills to navigate over 30 systems, extracting necessary information to resolve and avoid issues across multiple lines of business, provider types, and call types.
  • Influence providers to utilize self-service digital tools, assisting with navigation questions and promoting the benefits of these tools for faster resolution.

Essential Qualifications

  • High School Diploma or equivalent work experience.
  • At least 1 year of customer service experience, with a proven track record of analyzing and solving customer concerns.
  • Proficiency in computer and Windows PC applications, with the ability to navigate and learn new and complex computer system applications.
  • Typing speed of 35-40+ WPM with an accuracy of 90%.
  • Ability to work a full-time schedule (40 hours/week), with flexibility to work any 8-hour shift between 9:00 AM - 5:30 PM CST, Monday - Friday, and occasional overtime, weekends, or holidays as needed.

Preferred Qualifications

  • Experience in a related environment, such as an office, call center, or customer service setting, using phones and computers as primary job tools.
  • Prior healthcare experience and knowledge of healthcare terminology.

Telecommuting Requirements

  • Reside within the state of Tennessee.
  • Ability to maintain the security and confidentiality of company-sensitive documents.
  • Dedicated work area established, separated from other living areas, and providing information privacy.
  • High-speed internet connection or existing high-speed internet service.

Soft Skills

  • Ability to multitask, including typing in multiple conversations.
  • Effective problem-solving, organization, and interpersonal skills.
  • Excellent written communication skills.
  • Emotional Intelligence and Empathy.
  • Active Listening and Comprehension.
  • Time management skills.
  • Demonstrated experience consistently achieving quality and productivity standards.

What We Offer

At blithequark, we provide a comprehensive benefits package, including 12 weeks of paid training, to support your growth and development. Our training program is conducted virtually from the comfort of your home, and you'll have the flexibility to telecommute as you take on new challenges.

As a valued member of our team, you'll be rewarded and recognized for your performance in an environment that challenges you and provides clear direction on what it takes to succeed. You'll also have opportunities for career growth and development, as well as access to a range of benefits and perks.

Our Commitment to Diversity and Inclusion

At blithequark, we're committed to creating a diverse and inclusive workplace where everyone feels valued and respected. We believe that diversity is essential to driving innovation and delivering exceptional care to our members. As an Equal Employment Opportunity/Affirmative Action employer, we welcome applications from qualified candidates of all backgrounds, without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Join Our Team

If you're passionate about delivering exceptional customer service and making a positive impact on the healthcare industry, we encourage you to apply for this exciting opportunity with blithequark. As a Customer Service Representative, you'll be part of a dynamic team dedicated to simplifying the healthcare experience and creating healthier communities.

Apply now and take the first step towards a rewarding career with blithequark.

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