Experienced Customer Service Representative - Provider Support - Remote Opportunity in Indiana
At blithequark, we're simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the healthcare system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life's best work.
About blithequark
blithequark is a leading healthcare organization dedicated to providing innovative solutions that improve the lives of our members. We're committed to creating a healthier tomorrow by addressing the complex challenges of the healthcare system. Our team of passionate professionals is driven by a shared vision of making healthcare more accessible, affordable, and equitable for all.
Job Summary
We're seeking an experienced Customer Service Representative to join our team in Indiana. As a Provider Support Representative, you'll play a critical role in supporting healthcare providers who care for our members. You'll be responsible for providing exceptional customer service, resolving issues, and answering questions related to benefits, eligibility, billing, and clinical authorizations. This is a full-time, remote opportunity with a flexible schedule and opportunities for career growth and development.
Primary Responsibilities
* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues
- Service providers in a multi-channel environment, including call, concurrent chat, as required
- Quickly and appropriately triage contacts from healthcare professionals, including physician offices, clinics, and billing offices
- Seek to understand and identify the needs of the provider, answering questions and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health
- Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and 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, 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
Required Qualifications
* High School Diploma/GED or equivalent work experience
- 1 year of customer service experience analyzing and solving customer concerns
- Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
- Typing speed greater than or equal to 35-40 WPM with accuracy of 90%
- Ability to work full-time (40 hours/week) Monday - Friday between 10:35am - 7:05pm CST, with occasional overtime, weekends, and holidays as business needs require
- Must be 18 years of age or older
Preferred Qualifications
* Experience in a related environment, such as an office, call center, customer service, or healthcare setting, using phones and computers as primary job tools
- Prior healthcare experience and knowledge of healthcare terminology
Telecommuting Requirements
* Reside within the state of Indiana
- Ability to keep all company-sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a blithequark-approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills
* Ability to multi-task, including the ability to type in multiple conversations
- Ability to resolve calls and messages, avoiding escalated complaints
- Time management skills
- Emotional Intelligence and Empathy
- Active Listening and Comprehension
- Excellent written communication skills
- Demonstrated problem-solving, organization, and interpersonal skills
- Demonstrated experience consistently achieving quality and productivity standards
What We Offer
* 10 weeks of paid training
- Flexible schedule with opportunities for overtime, weekends, and holidays
- Opportunities for career growth and development
- Comprehensive benefits package, including medical, dental, and vision insurance
- 401(k) retirement plan with company match
- Paid time off and holidays
- Recognition and rewards for outstanding performance
Work Environment and Culture
* blithequark is a dynamic and fast-paced organization that values innovation, collaboration, and customer satisfaction
- Our team is passionate about making a difference in the lives of our members and healthcare providers
- We're committed to creating a culture of inclusivity, diversity, and respect
- Our work environment is designed to support flexibility, productivity, and work-life balance
How to Apply
If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at blithequark. Apply Now! Apply for this job