Experienced Provider Customer Service Call and Chat Representative – Telecommute Opportunity in Dublin, OH

Are you a customer service professional with a passion for healthcare and a knack for problem-solving? Do you thrive in a fast-paced, dynamic environment where no two calls or chats are ever the same? If so, we invite you to join our team at blithequark as a Provider Customer Service Call and Chat Representative. As a key member of our remote team, you will play a vital role in supporting healthcare providers who care for our members, ensuring they receive the best possible experience and outcomes.

About blithequark

At blithequark, we are dedicated to simplifying the healthcare experience and creating healthier communities. As a leading healthcare organization, we strive to deliver innovative solutions that meet the evolving needs of our members, providers, and partners. Our commitment to excellence, compassion, and customer-centricity drives everything we do, from our cutting-edge technology to our collaborative team culture.

Job Summary

As a Provider Customer Service Call and Chat Representative, you will be responsible for advocating for healthcare providers, triaging contacts, resolving complex issues, and collaborating with internal partners to ensure timely communication and resolution of provider concerns. You will also influence providers to utilize self-service digital tools to enhance their experience and expedite issue resolution. This role offers a unique opportunity to make a significant impact on the healthcare system while developing your skills in a supportive environment.

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 healthcare 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, learning, and success. As a Provider Customer Service Call and Chat Representative, you will enjoy:

• A comprehensive 10-week paid training program to ensure your success in the role.
• Flexible telecommuting options to balance your work and personal life.
• Opportunities for career development and advancement within the organization.
• A collaborative team culture that values diversity, equity, and inclusion.
• A competitive compensation package, including benefits and perks.

How to Apply

If you are a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our website. We look forward to reviewing your application and welcoming you to our team at blithequark.

Equal Employment Opportunity

blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion. Apply for this job