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Experienced Clinical Customer Service Representative for Remote Work Opportunity with blithequark – Delivering Exceptional Patient Care and Support through High-Volume Call Center Operations

Remote, USA Full-time Posted 2025-11-21

Introduction to blithequark and the Industry

blithequark is a leading provider of specialty network programs, dedicated to empowering individuals to live healthier and longer lives. As a key player in the healthcare industry, we recognize the importance of exceptional customer service in ensuring our members receive the support they need. Our high-volume call center is the backbone of our customer service operations, and we are seeking talented and compassionate individuals to join our team as Clinical Customer Service Representatives. If you are passionate about delivering outstanding patient care and have a knack for providing top-notch customer service, we invite you to explore this exciting remote work opportunity with blithequark.

Job Summary

As a Clinical Customer Service Representative at blithequark, you will play a vital role in supporting our members by responding to their inquiries, providing information, and resolving issues in a professional, accurate, and timely manner. This is a remote work opportunity, and you will be trained remotely and work from the comfort of your own home using company-provided technology equipment. We offer a competitive starting pay of $15/hour, with potential increases to $16/hour within the first year, plus merit-based bonuses and additional incentives for meeting Key Job Accountabilities (KJA) after 6, 12, and 24 months.

Key Responsibilities

  • Answer incoming calls in a professional, accurate, timely, and courteous manner, ensuring that all member inquiries are addressed and resolved efficiently.
  • Ascertain the nature of the call and record information in the Communication Log, utilizing proprietary blithequark systems to provide accurate and up-to-date information to callers.
  • Look up member information using blithequark's systems and provide information to the caller, ensuring that all interactions are handled with empathy and understanding.
  • Forward logs requiring further research to the appropriate department, ensuring that all issues are addressed and resolved in a timely manner.
  • Transfer callers to the appropriate queue if the question is of a more complex issue (claims, authorizations, etc.), ensuring that members receive the support they need from the right experts.
  • Utilize appropriate resources, including online resources, to provide timely responses to member inquiries, demonstrating a commitment to delivering exceptional customer service.
  • Manage time effectively to ensure calls are answered within required timeframes and appropriate follow-up is done in a timely manner, meeting or exceeding minimum key job accountabilities established for the Customer Service Representative position.
  • Document all calls appropriately, maintaining accurate and detailed records of member interactions.
  • Attend weekly staff and other meetings to discuss issues and foster teamwork among department personnel, contributing to a positive and collaborative work environment.
  • Respond to requests for internal and external customers and/or clients, as required, demonstrating a commitment to delivering exceptional service to all stakeholders.

Essential Qualifications

To be successful in this role, you will need to possess the following essential qualifications:

  • High school Diploma or equivalent required, demonstrating a foundation in basic education and skills.
  • Minimum of one-year experience performing customer service duties, with inbound call center experience preferred, demonstrating a proven track record of delivering exceptional customer service in a fast-paced environment.
  • Basic computer skills, including proficiency in using proprietary systems and software, demonstrating a ability to learn and adapt to new technologies.
  • Strong verbal communications skills, with the ability to communicate effectively and empathetically with members, demonstrating a commitment to delivering exceptional customer service.

Preferred Qualifications

While not essential, the following preferred qualifications will be highly regarded:

  • Experience working in a healthcare or clinical environment, demonstrating a understanding of the industry and its unique challenges.
  • Knowledge of medical terminology and clinical procedures, demonstrating a ability to communicate effectively with healthcare professionals and members.
  • Experience working in a remote or virtual team environment, demonstrating a ability to work independently and collaboratively in a remote setting.

Core Competencies

To be successful in this role, you will need to possess the following core competencies:

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships, demonstrating a commitment to teamwork and collaboration.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers, demonstrating a passion for delivering exceptional service.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment, demonstrating a ability to communicate effectively and empathetically with members and stakeholders.
  • Ability to effectively organize, prioritize, multi-task, and manage time, demonstrating a ability to work efficiently and effectively in a fast-paced environment.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions, demonstrating a ability to adapt to changing circumstances and priorities.
  • Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions, demonstrating a ability to think critically and creatively.
  • Ability to exercise strict confidentiality in all matters, demonstrating a commitment to maintaining the confidentiality and integrity of member information.

Career Growth Opportunities and Learning Benefits

At blithequark, we are committed to supporting the career growth and development of our employees. As a Clinical Customer Service Representative, you will have access to a range of training and development opportunities, including:

  • Comprehensive training program to ensure you have the skills and knowledge needed to succeed in your role.
  • Ongoing coaching and feedback to support your growth and development.
  • Opportunities for career advancement and professional growth within the company.
  • Access to a range of learning resources and tools to support your ongoing development and education.

Work Environment and Company Culture

At blithequark, we are proud of our positive and supportive work environment, which is built on a foundation of respect, empathy, and teamwork. As a remote worker, you will be part of a virtual team that is committed to delivering exceptional customer service and supporting the growth and development of our members. We offer a range of benefits and perks to support your well-being and job satisfaction, including:

  • Competitive pay and benefits package.
  • Opportunities for career advancement and professional growth.
  • Comprehensive training and development program.
  • Positive and supportive work environment.
  • Flexible working arrangements, including remote work options.

Compensation, Perks, and Benefits

At blithequark, we offer a competitive compensation package that includes:

  • Starting pay of $15/hour, with potential increases to $16/hour within the first year.
  • Merit-based bonuses and additional incentives for meeting Key Job Accountabilities (KJA) after 6, 12, and 24 months.
  • Comprehensive benefits package, including medical, dental, and vision coverage.
  • 401(k) retirement savings plan with company match.
  • Paid time off and holidays.
  • Flexible working arrangements, including remote work options.

Conclusion

If you are 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 as a Clinical Customer Service Representative. At blithequark, we are committed to supporting the growth and development of our employees, and we offer a range of benefits and perks to support your well-being and job satisfaction. Don't miss out on this opportunity to join a dynamic and supportive team and make a real difference in the lives of our members. Apply today to take the first step towards a rewarding and challenging career with blithequark!

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