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 create a better healthcare experience for everyone. As a Provider Customer Service Call and Chat Representative, you'll be part of a dynamic team that's passionate about delivering exceptional service and making a real difference in the lives of healthcare providers.

Responsibilities

As a Provider Customer Service Call and Chat Representative, you'll be responsible for:

• Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues
• Providing multi-channel service to providers, including call and concurrent chat as required
• Quickly and appropriately triaging contacts from healthcare professionals, including physician offices, clinics, and billing offices
• Seeking 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
• 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
• Demonstrating strong multi-tasking skills to navigate more than 30 systems and extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) 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

Requirements

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

• A 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

While not required, experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers as the primary job tools is a plus. Prior healthcare experience and knowledge of healthcare terminology are also highly valued.

Benefits

As a Provider Customer Service Call and Chat Representative at blithequark, you'll enjoy:

• 10 weeks of paid training to ensure your success in the role
• Flexibility to work remotely if located within a 60-mile commutable distance of Houston, TX
• A dynamic and supportive work environment that encourages growth and development
• Opportunities to work with a leading healthcare company that's passionate about making a difference in the lives of millions of people

What We Offer

At blithequark, we're committed to creating a workplace that's inclusive, diverse, and supportive of our employees' needs. We offer a range of benefits, including:

• Competitive salary and bonus structure
• Comprehensive health insurance package
• 401(k) retirement plan with company match
• Paid time off and holidays
• Opportunities for professional development and career growth
• A dynamic and supportive work environment that encourages collaboration and innovation

How to Apply

If you're a motivated and customer-focused individual with a passion for healthcare, we invite you to apply for the Provider Customer Service Call and Chat Representative role at blithequark. Please submit your application through our website, including your resume and a cover letter that highlights your experience and qualifications. We can't wait to hear from you! Apply for this job