Experienced Customer Service Representative – Telehealth Support for Providers

Are you passionate about delivering exceptional customer service and making a meaningful impact in the lives of healthcare professionals? Do you thrive in a dynamic, fast-paced environment where no two calls or chats are ever the same? If so, we invite you to join blithequark, a leading healthcare organization dedicated to simplifying the healthcare experience and creating healthier communities. As a Customer Service Representative – Telehealth Support for Providers, you will play a vital role in supporting providers who care for our members. You will be responsible for providing timely and accurate responses to questions and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health. Your expertise will be sought after by healthcare professionals, and your ability to navigate complex systems and resolve issues will be essential to ensuring their satisfaction and trust in blithequark.

About blithequark

At blithequark, we are committed to creating a healthier world by 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, regardless of their background, income, or location. Our team is dedicated to delivering exceptional service and support to our members, providers, and partners.

Job Summary

As a Customer Service Representative – Telehealth Support for Providers, you will be responsible for:

• Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues
• Providing timely and accurate responses to questions and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health
• Triaging contacts from healthcare professionals, including physician offices, clinics, and billing offices
• Researching and dissecting complex prior authorization and claim issues 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
• Influencing providers to utilize self-service digital tools, assisting with navigation questions, and selling the benefits of the tool
• Multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types

Requirements

* High School Diploma/GED or equivalent work experience

• 1 year of customer service experience analyzing and solving customer's concerns
• Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
• Typing Speed greater than or equal to 35-40 WPM with accuracy of 90%
• Ability to work full-time (40 hours/week) Monday - Friday between 10:35am – 7:05pm CST, with flexibility to work occasional overtime, weekends, and/or holidays
• Must be 18 years of age or older

Preferred Qualifications

* Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers as the primary job tools

• Prior healthcare experience and knowledge of healthcare terminology

Soft Skills

* Ability to multi-task, 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 consistently achieving quality and productivity standards

Work Environment and Culture

As a remote employee of blithequark, you will have the flexibility to work from home and enjoy a dynamic, fast-paced environment that values collaboration, innovation, and customer satisfaction. Our team is dedicated to delivering exceptional service and support to our members, providers, and partners. We offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.

Compensation and Perks

We offer a competitive salary and benefits package, including:

• Medical, dental, and vision insurance
• 401(k) matching
• Paid time off
• Comprehensive training program
• Opportunities for career growth and development
• Recognition and rewards for outstanding performance

How to Apply

If you are passionate about delivering exceptional customer service and making a meaningful impact in the lives of healthcare professionals, we invite you to apply for this exciting opportunity. Please submit your resume and a cover letter explaining why you are the ideal candidate for this role.

Equal Employment Opportunity

blithequark is 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, or any other characteristic protected by law.

Drug-Free Workplace

blithequark is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

To apply for this exciting opportunity, please click on the link below: Apply Job! Apply for this job