Introduction 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. As a leader in the healthcare industry, blithequark is seeking a talented and compassionate Provider Customer Service Call and Chat Representative to join our team and make a difference in the lives of millions of people.
Job Overview
The Provider Customer Service Call and Chat Representative will play a critical role in supporting providers who care for our members. As a key member of our customer service team, you will be responsible for providing exceptional support to healthcare providers via phone and chat, answering questions, and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health. If you are a customer-focused individual with excellent communication skills, a passion for delivering exceptional service, and a desire to make a positive impact in the healthcare industry, we encourage you to apply for this exciting opportunity.
Key Responsibilities
- Serve as an advocate for providers by demonstrating accountability and ownership to resolve issues in a timely and professional manner
- Provide exceptional customer service to healthcare providers via phone and chat, responding to questions and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health
- Quickly and appropriately 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 in a courteous and professional manner
- Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls and messages
- Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
- Demonstrate strong multitasking skills, navigating multiple systems to extract necessary information and resolve issues efficiently and effectively
- Influence providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool to aid in faster resolution
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 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 words per minute with an accuracy of 90%
- Ability to work any full-time (40 hours/week) 8-hour shift between the hours of 9:35 AM - 6:05 PM CST from Monday - Friday, with occasional overtime, weekends, and/or holidays as needed
Preferred qualifications include:
- Experience in a related environment, such as a call center or customer service role, using phones and computers as primary job tools
- Prior healthcare experience and knowledge of healthcare terminology
Telecommuting Requirements
To be eligible for this remote opportunity, you must:
- Reside within the state of New Mexico
- Have a dedicated work area established that is separated from other living areas and provides information privacy
- Have a reliable high-speed internet connection
- 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 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 with 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. As a Provider Customer Service Call and Chat Representative, you will have access to:
- 10 weeks of paid on-the-job training to help you develop the skills and knowledge you need to succeed in your role
- Ongoing coaching and feedback to help you continuously improve and grow in your position
- Opportunities for advancement and professional development within the company
- A supportive and collaborative work environment that encourages innovation and creativity
Work Environment and Company Culture
At blithequark, we are proud of our diverse and inclusive work environment. We believe that diversity creates a healthier atmosphere, and we are committed to fostering a culture that values and respects the unique perspectives and experiences of all our employees. As a Provider Customer Service Call and Chat Representative, you will be part of a team that is dedicated to making a positive impact in the healthcare industry and improving the lives of millions of people.
Compensation and Benefits
At blithequark, we offer a competitive compensation and benefits package that includes:
- A comprehensive salary and benefits package
- Opportunities for professional growth and development
- A supportive and collaborative work environment
- A range of perks and benefits, including flexible work arrangements and employee recognition programs
Conclusion
If you are a motivated and customer-focused individual who is passionate about delivering exceptional service and making a positive impact in the healthcare industry, 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 work with a talented and dedicated team, develop your skills and knowledge, and contribute to the success of our organization. Don't miss out on this opportunity to join a leader in the healthcare industry and start doing your life's best work. Apply today!
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