Experienced Provider Customer Service Call and Chat Representative – Remote in Houston, TX

Are you a customer service professional with a passion for healthcare and a knack for resolving complex issues? Do you thrive in a fast-paced, multi-channel environment where no two calls or chats are ever the same? If so, we invite you to join blithequark as a Provider Customer Service Call and Chat Representative, where you'll play a vital role in supporting healthcare providers and advocating for their needs.

About blithequark

blithequark is a leading healthcare company dedicated to improving the lives of millions of people across the United States. With a commitment to innovation, quality, and customer satisfaction, we strive to make a positive impact on the healthcare industry. Our team of passionate professionals shares a common goal: to deliver exceptional service, drive business growth, and make a difference in the lives of our customers.

Job Summary

As a Provider Customer Service Call and Chat Representative at blithequark, you'll be the primary point of contact for healthcare providers, addressing their inquiries and resolving issues related to benefits, eligibility, billing, clinical authorizations, and behavioral health. You'll work in a dynamic, multi-channel environment, leveraging your exceptional communication skills, technical expertise, and problem-solving abilities to provide timely and accurate information to providers.

Responsibilities

* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues, ensuring a positive experience and building trust with our customers.

• Service providers in a multi-channel environment, including call and concurrent chat as required, to provide seamless and efficient support.
• Quickly and appropriately triage contacts from healthcare professionals, including physician offices, clinics, and billing offices, to ensure timely resolution of issues.
• 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 prevent 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.
• Utilize strong multi-tasking skills to 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

* 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+ WPM (words per minute) with an accuracy of 90%.
• Ability to work any full-time (40 hours/week) shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday.

Nice-to-Haves

* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.

• Prior healthcare experience and knowledge of healthcare terminology.

Benefits

* 10 weeks of paid training to ensure your success in this role.

• Flexibility to work remotely if located within a 60-mile commutable distance of Houston, TX.

What We Offer

At blithequark, we're committed to providing a supportive and inclusive work environment that fosters growth, learning, and collaboration. As a Provider Customer Service Call and Chat Representative, you'll have access to:

• Comprehensive training programs to enhance your skills and knowledge.
• Ongoing coaching and feedback to ensure your success.
• Opportunities for career growth and advancement within the company.
• A dynamic and diverse team of professionals who share your passion for healthcare and customer service.
• A competitive compensation package, including benefits and perks.

How to Apply

If you're a motivated and customer-focused individual with a passion for healthcare, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our website. We look forward to reviewing your application and discussing this opportunity further. Apply Job! Apply for this job