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

Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a fast-paced, dynamic environment where no two interactions are ever the same? If so, we invite you to join blithequark's team of dedicated customer service representatives as a Concierge Customer Service Representative. In this role, you will be the face of our organization, providing top-notch support to our clients and their members while navigating the complexities of the healthcare industry. **About blithequark** At blithequark, we are a forward-thinking organization that is committed to innovation and collaboration. For over 35 years, we have partnered with clients to develop innovative and effective solutions to address their needs. By mitigating risk within the plan population and focusing on quality care and improved outcomes, blithequark reduces healthcare expenditures for the plan and plan member. We offer a dynamic work environment that fosters growth, learning, and teamwork, as well as a comprehensive benefits package that includes competitive compensation, Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs. **Job Summary** As a Concierge Customer Service Representative, you will be responsible for providing exceptional customer service to our clients and their members. You will respond to telephone and email inquiries, negotiate with providers, and assist members with benefits and healthcare questions. Your strong communication skills, attention to detail, and ability to multitask will enable you to effectively navigate the complexities of the healthcare industry and provide top-notch support to our clients. **Key Responsibilities** * Respond to telephone and email inquiries received from members and providers within defined service standards * Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers * Assist members with benefits and healthcare questions * Document all calls received in system-based call log * Perform other duties as assigned by management **Requirements and Qualifications** * High School Diploma or equivalent required; 2 years of college or higher education preferred * One year of customer service or call center experience in a healthcare-related role * Medical intake or Third-Party Administrator (TPA) experience preferred * Bilingual English-Spanish a plus * Strong customer relations, interpersonal skills, and ability to handle confidential and sensitive information * Proficient with Microsoft applications and strong computer skills * Excellent data entry and typing skills * Knowledge of provider organizations and networks * Knowledge and understanding of CMS Medicare reimbursement rates * Ability to effectively negotiate rate structures * Takes initiative to resolve situations and accomplish projects, actions, and tasks * Excellent verbal and written communication skills * Independent judgment in decision making and problem solving * Ability to multi-task and anticipate potential needs/problems * Ability to build relationships with internal and external customers * Medical terminology * Strong attention to detail * Understanding of Self-Funded health benefits a plus * Claim processing skills a plus * Insurance verification or pre-certification a plus **Work Environment and Physical Demands** This position is in a typical office/home office environment that requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment. **Compensation and Benefits** * Competitive salary range: $16.00 to $18.00 per hour * Comprehensive benefits package, including Paid Time Off, Medical, Dental, Vision, Short and Long-Term Disability, Life Insurance, AD&D, 401k with match, critical illness coverage, and discount programs **How to Apply** If you are a motivated and customer-focused individual who is passionate about delivering exceptional experiences, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and take the first step towards a rewarding new role. Apply for this job