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

Join the Team at blithequark and Make a Difference in Healthcare

blithequark is revolutionizing the healthcare experience, creating healthier communities, and removing barriers to quality care. As a leader in the industry, we're committed to making the healthcare system more responsive, affordable, and equitable. Our mission is to help people live healthier lives and make the health system work better for everyone. We're looking for a talented and compassionate Provider Customer Service Call and Chat Representative to join our team remotely in New Mexico.

About the Role

As a Provider Customer Service Call and Chat Representative, you will be the advocate for healthcare providers, supporting them with their questions and concerns. You will work in a multi-channel environment, responding to inquiries via phone and concurrent chat. Your primary responsibilities will include:

• Serving as the advocate for providers, demonstrating accountability and ownership to resolve issues
• Providing exceptional service to providers through call and chat channels
• Quickly and appropriately triaging contacts from healthcare professionals, such as physician offices, clinics, and billing offices
• Seeking 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
• Researching and dissecting complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls, messages, escalations, and provider dissatisfaction
• Collaborating effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
• Strong multitasking 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
• Influencing providers to utilize self-service digital tools, assisting with navigation questions, and selling the benefits of the tool, including aiding in faster resolution

What We Offer

At blithequark, we're committed to providing a supportive and inclusive work environment that fosters growth and development. Here are just a few benefits of working with us:

• Competitive compensation and benefits package
• 10 weeks of paid on-the-job training to ensure your success in the role
• Opportunities for career growth and professional development
• Flexible work arrangements, including remote work options
• A diverse and inclusive work environment that values and respects all employees
• A culture that prioritizes empathy, emotional intelligence, and active listening

Requirements and Qualifications

To be successful in this role, you'll need:

Required 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 greater than or equal to 35-40 WPM 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

Preferred Qualifications:

• Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as primary job tools
• Prior healthcare experience and knowledge of healthcare terminology

Soft Skills

We're looking for individuals with strong soft skills, including:

• 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
• Consistently achieving quality and productivity standards

Telecommuting Requirements

As a remote employee, you'll need:

• Reside within the state of New Mexico
• Ability to keep all company-sensitive documents secure (if applicable)
• A dedicated work area established that is separated from other living areas and provides information privacy
• A location that can receive a blithequark-approved high-speed internet connection or leverage an existing high-speed internet service

Diversity, Equity, and Inclusion

At blithequark, we believe that diversity creates a healthier atmosphere. We're an Equal Employment Opportunity/Affirmative Action employer, and 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
• Any other characteristic protected by law

Why Join blithequark?

We're committed to making a positive impact on the lives of millions of people. By joining our team, you'll have the opportunity to:

• Make a difference in the lives of others
• Work with a talented and dedicated team
• Grow and develop your skills and career
• Be part of a culture that values empathy, emotional intelligence, and active listening

If you're passionate about delivering exceptional customer service and making a positive impact on the healthcare industry, we encourage you to apply for this exciting opportunity. Join our team at blithequark and start making a difference today!