Experienced Provider Customer Service Call and Chat Representative – Remote Opportunity in Tennessee for Delivering Exceptional Support to Healthcare Providers

Introduction to blithequark

At blithequark, we are dedicated to transforming the healthcare experience by creating healthier communities, removing barriers to quality care, and making the healthcare system more responsive, affordable, and equitable. Our mission is to help people live healthier lives, and we believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances. As a leader in the healthcare industry, we are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes.

Job Overview

We are seeking an experienced and compassionate Provider Customer Service Call and Chat Representative to join our team. As a representative, you will play a vital role in supporting healthcare providers who care for our members. Your primary responsibility will be to provide exceptional customer service, responding to questions and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health via phone calls and concurrent chats.

Key Responsibilities

• Serve as an advocate for providers, demonstrating accountability and ownership to resolve issues in a timely and professional manner
• Provide exceptional customer service to healthcare professionals, including physician offices, clinics, and billing offices, in a multi-channel environment
• Quickly and appropriately triage contacts from healthcare professionals, identifying and addressing their needs and concerns
• Research and resolve complex prior authorization and claim issues, taking steps to avoid repeat calls, messages, escalations, and provider dissatisfaction
• Collaborate effectively with internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
• Utilize strong multitasking skills to navigate over 30 systems, extracting necessary information to resolve and avoid issues across multiple lines of business
• Influence providers to utilize self-service digital tools, assisting with navigation questions and promoting the benefits of these tools

Requirements and Qualifications

To be successful in this role, you will need to possess the following essential qualifications:

• High School Diploma or equivalent work experience
• Must be 18 years of age or older
• 1 year of customer service experience, with a focus on analyzing and solving customer concerns
• Ability to type at a speed of 35-40 words per minute 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, Monday - Friday, with occasional overtime, weekends, and holidays as needed

Preferred Qualifications

While not required, the following qualifications are preferred:

• Prior healthcare experience and knowledge of healthcare terminology
• Experience in a related environment, such as an office, call center, or customer service role, using phones and computers as primary job tools

Telecommuting Requirements

This is a remote opportunity, and you must reside within the state of Tennessee. You will need to:

• Have a dedicated work area established that is separated from other living areas and provides information privacy
• Have a high-speed internet connection that meets blithequark's requirements
• Be able to keep all company-sensitive documents secure

Soft Skills and Competencies

To excel in this role, you will need to possess the following soft skills and competencies:

• 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
• Demonstrated experience consistently achieving quality and productivity standards

Career Growth and Development

At blithequark, we are committed to helping our employees grow and develop in their careers. You will have access to:

• Comprehensive training programs to help you succeed in your role
• Ongoing coaching and feedback to support your growth and development
• Opportunities to advance to other roles within the company
• A supportive and collaborative work environment that encourages innovation and creativity

Work Environment and Company Culture

At blithequark, we pride ourselves on our diverse and inclusive work environment. We believe that diversity creates a healthier atmosphere, and we are committed to:

• Providing equal employment opportunities to all qualified applicants, regardless of their background or circumstances
• Creating a workplace culture that values and respects all employees
• Supporting the well-being and health of our employees, both in and out of the workplace

Compensation and Benefits

We offer a competitive compensation package, including:

• A comprehensive benefits package, including medical, dental, and vision coverage
• A 401(k) retirement savings plan with company match
• Paid time off and holidays
• Opportunities for professional growth and development

Conclusion

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, 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 real difference in the lives of healthcare providers and their patients. Join our team today and start building a career that is both rewarding and challenging.