Experienced Provider Customer Service Call and Chat Representative – Healthcare Advocacy and Support
Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? 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 as a Provider Customer Service Call and Chat Representative, where you will play a vital role in supporting healthcare providers who care for our members. At blithequark, we are dedicated to simplifying the healthcare experience and creating healthier communities. As a Provider Customer Service Call and Chat Representative, you will be part of a talented team that is committed to providing world-class service to our providers, ensuring they have the support and resources they need to deliver exceptional care to our members.
About the Role
As a Provider Customer Service Call and Chat Representative, you will be responsible for responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. You will be the advocate for providers, demonstrating accountability and ownership to resolve issues, and influencing them to utilize self-service digital tools to enhance their experience and expedite issue resolution.
Responsibilities
• Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues.
- Service providers in a multi-channel environment, including call and concurrent chat as required.
- Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
- Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
- Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction.
- Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
- Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types.
- Influence providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool, including aiding in faster resolution.
Requirements
• High School Diploma / GED OR equivalent work experience.
- Must be 18 years of age OR older.
- 1+ years of customer service experience with analyzing and solving customer's concerns.
- Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications.
- Ability to type at the speed of greater than or equal to 35 - 40+ WPM (words per minute) with an accuracy of 90%.
- Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 11:35 AM - 8:05 PM EST from Monday - Friday.
Nice-to-haves
• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.
- Prior health care experience and knowledge of healthcare terminology.
Benefits
• 10 weeks of paid on-the-job training.
- Flexible telecommuting options for those within a 60-mile commutable distance.
- Opportunities for career development and advancement within the organization.
What We Offer
At blithequark, we are committed to providing a supportive and inclusive work environment that fosters growth and development. As a Provider Customer Service Call and Chat Representative, you will have the opportunity to:
- Develop your skills in a dynamic and fast-paced environment.
- Work with a talented team of professionals who are passionate about delivering exceptional customer service.
- Make a meaningful impact in the healthcare industry by supporting healthcare providers who care for our members.
- Enjoy flexible telecommuting options and a comprehensive benefits package.
- Pursue opportunities for career development and advancement within the organization.
How to Apply
If you are passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry, we invite you to apply for the Provider Customer Service Call and Chat Representative role at blithequark. Please submit your application through our website, and we will be in touch with you to discuss your qualifications and next steps.
Equal Employment Opportunity
blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we strive to provide opportunities for career development and advancement to all qualified candidates.
Contact Us
If you have any questions or would like to learn more about the Provider Customer Service Call and Chat Representative role at blithequark, please do not hesitate to contact us. We look forward to hearing from you and exploring how you can join our team. Apply for this job