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Experienced Customer Service Representative – Medicaid and Medicare Support

Remote · USA Full-time New today

Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of 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 professionals at blithequark, a leading healthcare organization committed to revolutionizing the way people experience healthcare. At blithequark, we're not just looking for customer service representatives – we're seeking individuals who embody our core values of compassion, empathy, and excellence. As a Member Service Representative, you'll play a vital role in providing top-notch support to Aetna Medicaid members and providers, helping them navigate the complexities of their benefits and services.

About blithequark

blithequark is a forward-thinking healthcare organization that's redefining the way people experience healthcare. With a commitment to innovation, compassion, and excellence, we're dedicated to delivering enhanced human-centric healthcare solutions that make a real difference in people's lives. Our team of passionate professionals is united by a shared purpose: to bring our heart to every moment of your health.

Job Summary

As a Member Service Representative, you'll be responsible for providing telephone assistance to Aetna Medicaid members and providers, answering a wide range of inquiries related to benefits, eligibility, services, and prior authorization requirements. You'll work closely with our team to ensure that every caller receives an exceptional experience, every time.

Responsibilities

* Answer incoming member and provider calls and respond to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits and programs, etc.

  • Utilize high-speed internet connectivity with secure service via ethernet cable (Wi-Fi is not permitted)
  • Collaborate with our team to resolve complex issues and provide accurate information to callers
  • Meet performance standards, attendance requirements, and call quality goals
  • Participate in ongoing training and development to enhance your skills and knowledge
  • Work from home with the flexibility to commute to our office in Richmond, VA when needed

Required Qualifications

* High school diploma or equivalent

  • Ability to communicate effectively with members and providers orally and in written form
  • Strong customer service skills and a passion for delivering exceptional experiences
  • Ability to work from home and prove self-sufficiency
  • Must commute to the office in Richmond, VA when unable to work from home due to prolonged technical problems

Preferred Qualifications

* Experience working remotely in a call center setting

  • Experience with Medicaid and Medicare
  • Strong problem-solving skills and ability to think critically

Skills and Competencies

* Excellent communication and interpersonal skills

  • Strong customer service skills and a passion for delivering exceptional experiences
  • Ability to work in a fast-paced, dynamic environment
  • Strong problem-solving skills and ability to think critically
  • Proficiency in using technology, including high-speed internet connectivity and secure service via ethernet cable

Career Growth Opportunities and Learning Benefits

At blithequark, we're committed to helping our team members grow and develop their skills and knowledge. We offer a range of training and development opportunities, including:

  • Ongoing training and development to enhance your skills and knowledge
  • Opportunities for career advancement and professional growth
  • Access to our comprehensive benefits package, including medical, dental, and vision benefits
  • A 401(k) retirement savings plan and an Employee Stock Purchase Plan
  • A fully-paid term life insurance plan and short-term and long-term disability benefits
  • Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year

Work Environment and Company Culture

At blithequark, we're proud of our inclusive and supportive work environment. We're committed to creating a workplace where everyone feels valued, respected, and empowered to succeed. Our team is passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others.

Compensation and Benefits

We offer a competitive compensation package, including:

  • A pay range of $17.00 - $27.90 per hour
  • A comprehensive benefits package, including medical, dental, and vision benefits
  • A 401(k) retirement savings plan and an Employee Stock Purchase Plan
  • A fully-paid term life insurance plan and short-term and long-term disability benefits
  • Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year

How to Apply

If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others, we invite you to apply for this exciting opportunity. Please visit our website at [insert website URL] to learn more about our company culture and benefits. We can't wait to hear from you!

Equal Employment Opportunity

blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace where everyone feels valued, respected, and empowered to succeed. If you have a disability and require a reasonable accommodation to apply for this position, please contact us at [insert contact email or phone number]. Apply for this job

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