Experienced Provider Customer Service Call and Chat Representative for Healthcare Industry - Full-Time Remote Opportunity in Dublin, OH

Introduction to blithequark

At blithequark, we are dedicated to simplifying the health care experience and creating healthier communities. As a leader in the healthcare industry, we strive to make a positive impact on the lives of our members and the providers who care for them. Our mission is built on a foundation of compassion, innovation, and a commitment to excellence. We believe that by working together, we can achieve great things and make a real difference in the world. If you are passionate about delivering exceptional customer service and making a meaningful contribution to the healthcare industry, we invite you to join our team as a Provider Customer Service Call and Chat Representative.

About the Role

As a Provider Customer Service Call and Chat Representative at blithequark, you will play a vital role in supporting providers who care for our members. This position involves responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. You will be part of a full-time team working 40 hours a week, Monday through Friday, with shifts scheduled during our normal business hours of 11:35 AM to 8:05 PM EST. Given the nature of the business, there may be occasional overtime, weekend, and holiday work required, especially during peak seasons.

Key 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.
• 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 (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

To be successful in this role, you will need to meet the following 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

While not required, the following skills and experiences are highly desirable:

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.
• Prior health care experience and knowledge of healthcare terminology.

What We Offer

At blithequark, we are committed to supporting 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 attendance is mandatory, and no paid time off (PTO) is allowed during this period.
• Flexible telecommuting options for those within a 60-mile commutable distance.
• Opportunities for career development and advancement within the organization.
• A competitive compensation package and benefits program.
• A dynamic and supportive work environment that encourages collaboration, innovation, and creativity.

Our Culture

At blithequark, we pride ourselves on our positive and inclusive company culture. We believe that our employees are our greatest asset, and we strive to create a work environment that is engaging, challenging, and rewarding. We offer a range of programs and initiatives to support the well-being and development of our employees, including:

• Regular feedback and coaching to help you grow and develop in your role.
• Opportunities for professional development and career advancement.
• A comprehensive benefits package, including health insurance, retirement savings, and paid time off.
• A dynamic and supportive work environment that encourages collaboration, innovation, and creativity.

How to Apply

If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to be considered for this role. We look forward to hearing from you and exploring how you can contribute to the success of blithequark.

Conclusion

At blithequark, we are committed to making a positive impact on the lives of our members and the providers who care for them. As a Provider Customer Service Call and Chat Representative, you will play a vital role in supporting our mission and delivering exceptional service to our providers. If you are looking for a challenging and rewarding career opportunity with a dynamic and supportive organization, we encourage you to apply for this exciting role. Join our team and be part of a company that is dedicated to making a difference in the healthcare industry.

Additional Information

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 also be required to participate in regular training and development programs to ensure that you have the skills and knowledge needed to succeed in your role.

Why Choose blithequark?

At blithequark, we offer a unique and rewarding work environment that is built on a foundation of compassion, innovation, and a commitment to excellence. We believe that our employees are our greatest asset, and we strive to create a work environment that is engaging, challenging, and rewarding. By joining our team, you will have the opportunity to:

• Make a positive impact on the lives of our members and the providers who care for them.
• Develop your skills and knowledge in a supportive and dynamic environment.
• Advance your career and take on new challenges and opportunities.
• Be part of a company that is dedicated to making a difference in the healthcare industry.

Our Commitment to Diversity and Inclusion

At blithequark, we are committed to creating a diverse and inclusive work environment that reflects the communities we serve. We believe that diversity and inclusion are essential to our success, and we strive to create a work environment that is welcoming and inclusive to all employees. We are an equal opportunity employer and welcome applications from qualified candidates of all backgrounds.

How We Support Our Employees

At blithequark, we are committed to supporting the growth and development of our employees. We offer a range of programs and initiatives to support the well-being and development of our employees, including:

• Regular feedback and coaching to help you grow and develop in your role.
• Opportunities for professional development and career advancement.
• A comprehensive benefits package, including health insurance, retirement savings, and paid time off.
• A dynamic and supportive work environment that encourages collaboration, innovation, and creativity.

Our Vision for the Future

At blithequark, we are committed to making a positive impact on the lives of our members and the providers who care for them. Our vision for the future is to continue to innovate and improve our services, to expand our reach and impact, and to make a meaningful difference in the healthcare industry. We believe that by working together, we can achieve great things and create a brighter future for all.