Experienced Provider Customer Service Call and Chat Representative – Remote Full-Time Opportunity Supporting Healthcare Providers Across Multiple Locations

Welcome to blithequark At blithequark, we are dedicated to simplifying the healthcare experience and creating healthier communities. As a leader in the healthcare industry, we recognize the importance of providing exceptional support to the providers who care for our members. Our mission is built on a foundation of compassion, innovation, and a relentless pursuit of excellence. We believe that by working together, we can make a meaningful difference in the lives of those we serve. About the Position The Provider Customer Services Call and Chat Representative plays a vital role in our organization, serving as the primary point of contact for providers who have questions or concerns about benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health. As a representative, you will be responsible for responding to inquiries through phone calls or concurrent chat, providing timely and effective resolutions to issues, and advocating for providers in a multi-channel environment. Key Responsibilities Serve as the advocate for providers by demonstrating accountability and ownership in resolving issues, ensuring that their concerns are addressed in a professional and courteous manner. Provide exceptional customer service to providers in a multi-channel environment, including calls and concurrent chat, responding to inquiries and resolving issues in a timely and effective manner. Quickly and appropriately triage contacts from healthcare professionals, understanding their needs and providing personalized support to resolve issues. Research and dissect complex prior authorization and claim issues, collaborating with multiple internal partners to ensure effective communication and resolution, and taking proactive steps to avoid repeat calls or messages. Navigate over 30 systems to extract necessary information, utilizing strong multitasking skills to efficiently resolve issues across multiple lines of business, provider types, and call types. Influence providers to utilize self-service digital tools, promoting faster resolutions and enhancing their experience with our services, and providing guidance on navigation and the benefits of these tools. Essential Qualifications High School Diploma / GED or equivalent work experience, demonstrating a strong foundation in customer service and communication. 1+ years of customer service experience, with a proven track record of analyzing and solving customer concerns, and providing exceptional support in a fast-paced environment. Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications, with a strong focus on adaptability and technical skills. Ability to type at a speed of greater than or equal to 35-40+ WPM with an accuracy of 90%, demonstrating strong keyboarding skills and attention to detail. Must be 18 years of age or older, with a strong work ethic and commitment to providing exceptional customer service. Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday, with flexibility to adapt to changing business needs. Preferred Qualifications Prior healthcare experience and knowledge of healthcare terminology, demonstrating a strong understanding of the healthcare industry and its complexities. Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools, with a focus on providing exceptional customer service and support. What We Offer At blithequark, we recognize the importance of investing in our employees and providing a comprehensive benefits package that supports their well-being and career growth. Our benefits include: Comprehensive benefits package, including medical, dental, and vision coverage, as well as life insurance and disability benefits. Incentive and recognition programs, designed to reward and recognize exceptional performance and contributions to our organization. Equity stock purchase, providing employees with the opportunity to invest in our company and share in our success. 401k contribution, demonstrating our commitment to supporting our employees' retirement goals and financial well-being. Career Growth and Development At blithequark, we are committed to providing our employees with opportunities for career growth and development, recognizing that our employees are our greatest asset. We offer: Comprehensive training programs, designed to support employees in their roles and provide opportunities for advancement and career growth. Mentorship and coaching, providing employees with guidance and support to help them achieve their career goals. Opportunities for advancement, recognizing and rewarding exceptional performance and contributions to our organization. Work Environment and Company Culture At blithequark, we pride ourselves on our positive and supportive work environment, recognizing that our employees are our greatest asset. We offer: A collaborative and dynamic work environment, designed to foster teamwork and innovation. A strong focus on work-life balance, recognizing the importance of supporting our employees' personal and professional well-being. A commitment to diversity and inclusion, recognizing the value of a diverse and inclusive workplace. Conclusion If you are a motivated and customer-focused individual who is passionate about providing exceptional support to healthcare providers, we encourage you to apply for this exciting opportunity. At blithequark, we recognize the importance of investing in our employees and providing a comprehensive benefits package that supports their well-being and career growth. Join our team and become part of a dynamic and supportive work environment that is dedicated to making a meaningful difference in the lives of those we serve. Apply for this job