Experienced Provider Customer Service Call and Chat Representative – Remote Opportunity in Tennessee for Delivering Exceptional Support to Healthcare Providers

Welcome to blithequark

At blithequark, we are dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life, and we are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

Job Overview

We are seeking a highly skilled and compassionate Provider Customer Service Call and Chat Representative to join our team. As a Provider Customer Service Call and Chat Representative, you will play a critical role in supporting providers who care for our members. You will be responsible for providing exceptional customer service, responding to questions, and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health. If you are passionate about delivering exceptional customer service and making a positive impact on the lives of others, we encourage you to apply for this exciting opportunity.

Primary Responsibilities

• Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues
• Provide exceptional customer service to providers in a multi-channel environment, including call and concurrent chat
• 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 in a timely and professional manner
• Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls and messages
• Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
• Demonstrate strong multitasking skills, navigating over 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business
• 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 or equivalent work experience
• Must be 18 years of age or older
• 1 year of customer service experience with 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
• Ability to type at a speed of greater than or equal to 35-40 words per minute with an accuracy of 90%
• Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9:00 AM - 5:30 PM CST, Monday - Friday, with occasional overtime, weekends, and holidays as needed

Preferred Qualifications

• Experience in a related environment, such as an office, call center, or customer service, using phones and computers as primary job tools
• Prior healthcare experience and knowledge of healthcare terminology

Telecommuting Requirements

• Reside within the state of Tennessee
• 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 multitask, 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

Career Growth Opportunities and Learning Benefits

At blithequark, we are committed to helping our employees grow and develop in their careers. We offer a range of training and development programs, including 12 weeks of paid training for this role. Our training programs are designed to help you build the skills and knowledge you need to succeed in your role and advance in your career. We also offer opportunities for career advancement and professional growth, as well as a range of benefits and perks to support your well-being and success.

Work Environment and Company Culture

At blithequark, we are proud of our diverse and inclusive workplace culture. We believe that diversity creates a healthier atmosphere and that everyone deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. Our company culture is built on a foundation of respect, empathy, and compassion, and we are dedicated to creating a workplace where everyone feels valued, supported, and empowered to succeed.

Compensation, Perks, and Benefits

We offer a competitive salary and benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off. We also offer a range of perks and benefits, including flexible work arrangements, professional development opportunities, and a comprehensive wellness program. Our goal is to support the well-being and success of our employees, both in and out of the workplace.

Conclusion

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service and making a positive impact on the lives of others, we encourage you to apply for this exciting opportunity. As a Provider Customer Service Call and Chat Representative at blithequark, you will have the opportunity to work with a talented and dedicated team, develop your skills and knowledge, and advance in your career. Don't miss out on this chance to join a dynamic and growing organization and start doing your life's best work. Apply today!