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 an experienced Provider Customer Service Call and Chat Representative to join our team. As a representative, you will be supporting providers who care for our members, providing responses to questions, and resolving issues in a timely and professional manner. This is a full-time, remote opportunity for candidates located in Tennessee, offering the flexibility to work from home and make a difference in the lives of millions of people.
Primary Responsibilities
- Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues
- Provide 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 to extract 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
Required Qualifications
- High School Diploma/GED or equivalent work experience
- Must be 18 years of age or older
- 1 year of customer service experience with analyzing and solving customer concerns
- Ability to type at a speed of greater than or equal to 35-40 WPM with an accuracy of 90%
- Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
- Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9 AM – 5:35 PM CST from Monday to Friday, with occasional overtime, weekends, and/or holidays based on business need
Preferred Qualifications
- Prior healthcare experience and knowledge of healthcare terminology
- Experience in a related environment, such as an office, call center, or customer service, using phones and computers as primary job tools
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. As a Provider Customer Service Call and Chat Representative, you will have access to comprehensive training programs, including 11 weeks of paid training, to help you succeed in your role. You will also have opportunities to develop new skills and advance in your career, with clear direction on what it takes to succeed in your role and development for other roles you may be interested in.
Work Environment and Company Culture
At blithequark, we value diversity and inclusion, and we are committed to creating a workplace that is welcoming and inclusive to all employees. We believe that diversity creates a healthier atmosphere, and we are an Equal Employment Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Compensation, Perks, and Benefits
We offer a competitive compensation package, including a comprehensive benefits package, to our employees. As a remote employee, you will also have the flexibility to work from home and enjoy a better work-life balance. We are committed to providing our employees with the resources and support they need to succeed in their roles and advance in their careers.
Conclusion
If you are a motivated and customer-focused individual who is passionate about delivering exceptional service to healthcare providers, we encourage you to apply for this exciting opportunity. As a Provider Customer Service Call and Chat Representative at blithequark, you will have the chance to make a difference in the lives of millions of people and be part of a team that is dedicated to simplifying the healthcare experience and creating healthier communities. Apply now to join our team and start making a difference today!
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