Experienced Provider Customer Service Call and Chat Representative – Healthcare Support and Advocacy Role with blithequark

Introduction to blithequark and the Role At blithequark, we are dedicated to simplifying the health care experience and creating healthier communities. As a leader in the healthcare industry, we recognize the importance of supporting providers who care for our members. Our mission is to deliver high-quality services that make a positive impact on people's lives. We are now seeking an experienced and compassionate Provider Customer Service Call and Chat Representative to. As a crucial member of our provider support team, you will play a vital role in responding to inquiries, resolving complex issues, and advocating for providers who care for our members.About the PositionThis is a full-time remote position based in Dublin, OH, where you will work 40 hours a week, Monday through Friday, with shifts scheduled during our normal business hours of 11:35 AM to 8:05 PM EST. As a telecommuter, you will need to adhere to blithequark's Telecommuter Policy, which includes maintaining a dedicated workspace and ensuring the security of sensitive company documents. You will be part of a dynamic team that is committed to delivering exceptional customer service and making a difference in the lives of our members and providers.Key Responsibilities Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues in a timely and professional manner. Provide exceptional customer service to providers in a multi-channel environment, including call and concurrent chat, as required. Quickly and appropriately triage contacts from healthcare professionals, such as 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. Demonstrate strong multitasking skills 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. Essential Qualifications 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 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 a speed of greater than or equal to 35-40+ words per minute (WPM) 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. Preferred Qualifications Experience in a related environment, such as an office, call center, or customer service role, using phones and computers as primary job tools. Prior healthcare experience and knowledge of healthcare terminology. Skills and Competencies To be successful in this role, you will need to possess excellent communication and interpersonal skills, with the ability to build strong relationships with providers and internal partners.You will also need to demonstrate strong problem-solving and analytical skills, with the ability to navigate complex systems and resolve issues in a timely and professional manner. Additionally, you will need to be proficient in using computer and Windows PC applications, with the ability to learn new and complex systems quickly. Career Growth Opportunities and Learning Benefits At blithequark, we are committed to the growth and development of our employees. As a Provider Customer Service Call and Chat Representative, you will have access to a comprehensive 10-week paid training program, where you will learn the skills and knowledge necessary to succeed in your role.You will also have opportunities for career development and advancement within the organization, with clear direction and recognition for your performance. Work Environment and Company Culture At blithequark, we pride ourselves on our dynamic and supportive work environment. As a remote employee, you will be part of a virtual team that is committed to delivering exceptional customer service and making a difference in the lives of our members and providers. You will have the opportunity to work with a talented and diverse group of professionals who are passionate about healthcare and dedicated to excellence.Compensation, Perks, and Benefits As a Provider Customer Service Call and Chat Representative with blithequark, you will be eligible for a competitive salary and benefits package, including 10 weeks of paid on-the-job training, flexible telecommuting options, and opportunities for career development and advancement within the organization. You will also have access to a range of perks and benefits, including a comprehensive health insurance package, retirement savings plan, and paid time off. Conclusion If you are a motivated and compassionate individual who is passionate about healthcare and customer service, we encourage you to apply for this exciting opportunity.As a Provider Customer Service Call and Chat Representative with blithequark, you will have the opportunity to make a positive impact on the lives of our members and providers, while developing your skills and advancing your career in a supportive and dynamic environment. to and start making a difference today!