Experienced Full-Time Provider Customer Service Call and Chat Representative - Remote in Tennessee - Healthcare Industry Leader

Join the Healthcare Revolution at blithequark

At blithequark, we're dedicated to transforming the healthcare experience, fostering healthier communities, and eliminating barriers to quality care. Our mission is to create a more responsive, affordable, and equitable healthcare system that positively impacts the lives of millions of people. As a leader in the healthcare industry, we're committed to helping people live healthier lives and making the health system work better for everyone. We're looking for talented individuals like you to join our team and make a meaningful difference.

About the Role

We're seeking an experienced Provider Customer Service Call and Chat Representative to support our providers and members. As a full-time representative, you'll be responsible for providing exceptional service to healthcare professionals, answering questions, and resolving issues related to benefits, eligibility, billing, clinical authorizations, and more. This is a unique opportunity to work in a dynamic environment, develop your skills, and contribute to the success of our organization.

Key Responsibilities

• Serve as an advocate for providers, demonstrating accountability and ownership to resolve issues and provide excellent service.
• Interact with providers through multiple channels, including phone calls and concurrent chats, to address their concerns and questions.
• Quickly and accurately triage contacts from healthcare professionals, including physician offices, clinics, and billing offices.
• Seek to understand and identify the needs of providers, answering questions and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health.
• Research and analyze complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and prevent repeat calls or escalations.
• Collaborate effectively with internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
• Develop strong multitasking skills to navigate multiple systems, extract necessary information, and resolve issues efficiently.
• Influence providers to utilize self-service digital tools, assisting with navigation questions, and promoting the benefits of these tools.

What We Offer

Training and Development

We offer a comprehensive 12-week paid training program to equip you with the skills and knowledge needed to succeed in this role. Training will be conducted virtually from your home, and you'll have the opportunity to develop your skills and knowledge in a supportive and interactive environment.

Work Environment and Culture

As a remote employee, you'll have the flexibility to work from home and enjoy a better work-life balance. Our company culture values diversity, equity, and inclusion, and we're committed to creating a healthy and supportive work environment. We believe in fostering a culture of empathy, active listening, and emotional intelligence, and we're looking for individuals who share these values.

Compensation and Benefits

We offer a competitive compensation package, including a salary, benefits, and perks that support your well-being and financial security. As a remote employee, you'll also have the opportunity to save time and money on commuting and enjoy a more flexible work schedule.

Requirements and Qualifications

Essential 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 35-40+ WPM with an accuracy of 90%.
• Ability to work a full-time schedule (40 hours/week) with flexibility to work any 8-hour shift between 9:00 AM and 5:30 PM CST, Monday-Friday.

Preferred Qualifications

• Experience in a related environment (i.e., office, call center, customer service).
• Prior healthcare experience and knowledge of healthcare terminology.

Telecommuting Requirements

• Reside within the state of Tennessee.
• Ability to keep all company-sensitive documents secure.
• 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 high-speed internet connection.

Soft Skills

• Ability to multitask, including typing 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.

Why Join blithequark?

At blithequark, we're committed to creating a diverse and inclusive work environment that values the contributions of all employees. We believe in fostering a culture of empathy, active listening, and emotional intelligence, and we're looking for individuals who share these values. As a remote employee, you'll have the opportunity to work from home and enjoy a better work-life balance. We're also committed to providing opportunities for growth and development, so you can advance your career and achieve your goals.

How to Apply

If you're passionate about delivering exceptional customer service and making a difference in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to join our team at blithequark.

We're excited to hear from you and look forward to welcoming you to our team!