Experienced Provider Customer Service Call and Chat Representative – Remote Health Care Support Specialist at blithequark

Introduction to blithequark and the Health Care Industry

At blithequark, we are dedicated to simplifying the health care experience and creating healthier communities. As a leader in the health care industry, we recognize the importance of providing exceptional support to providers who care for our members. Our mission is to make a positive impact on the lives of our members and the health care system as a whole. If you are passionate about delivering outstanding customer service and making a difference in the health care industry, we encourage you to join our team as a Provider Customer Service Call and Chat Representative.

Job Overview

In this critical role, you will serve as the primary point of contact for providers, responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health. You will utilize your excellent communication skills to resolve complex issues via phone calls or concurrent chat, ensuring that providers receive timely and effective support. As a key member of our team, you will be responsible for advocating for providers, triaging contacts from healthcare professionals, and collaborating with internal partners to ensure seamless communication and resolution of provider concerns.

Key Responsibilities

• Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues in a professional and courteous 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, extracting 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, 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 (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 health care experience and knowledge of healthcare terminology

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, designed to equip you with the skills and knowledge necessary to excel in your role. You will also have opportunities for career advancement and professional growth within the organization, as well as recognition for your performance and contributions to the team.

Work Environment and Company Culture

At blithequark, we pride ourselves on our supportive and inclusive work environment. As a remote employee, you will be part of a dynamic team that values collaboration, innovation, and customer satisfaction. You will have the flexibility to work from the comfort of your own home, with the option to telecommute from a dedicated workspace. Our company culture is built on the principles of respect, empathy, and excellence, and we strive to create a positive and engaging work environment that fosters growth, development, and job satisfaction.

Compensation, Perks, and Benefits

As a Provider Customer Service Call and Chat Representative at blithequark, you will be eligible for a competitive compensation package, including a comprehensive benefits program, flexible telecommuting options, and opportunities for career advancement. You will also have access to a range of perks and benefits, including paid time off, holidays, and a recognition program that rewards your hard work and dedication.

Conclusion

If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for the Provider Customer Service Call and Chat Representative role at blithequark. As a key member of our team, you will have the opportunity to make a positive impact on the health care system, while developing your skills and advancing your career in a supportive and dynamic environment. Don't miss this chance to join a leading health care organization and take your career to the next level. Apply now and become a part of the blithequark team!