Provider Customer Service Representative - Remote Opportunity in New Mexico at blithequark

Transforming Healthcare through Exceptional Customer Service

At blithequark, we're on a mission to simplify the healthcare experience, creating healthier communities, and removing barriers to quality care. We're committed to making a positive impact on the lives of millions of people. If you're passionate about delivering outstanding customer service and are located within the state of New Mexico, we invite you to join our team as a Provider Customer Service Call and Chat Representative and work from the comfort of your own home.

About the Role

As a Provider Customer Service Call and Chat Representative at blithequark, you will be the advocate for healthcare providers, resolving their queries and concerns through phone calls and concurrent chats. Your expertise will be crucial in addressing a range of topics, including benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health. This is a full-time, remote opportunity that requires a high level of professionalism, multitasking, and excellent communication skills.

Key Responsibilities

• Serve as the primary point of contact for healthcare providers, resolving their issues and answering queries in a timely and efficient manner.
• Handle multiple channels of communication, including phone calls and concurrent chats, to provide seamless customer service.
• Triage contacts from healthcare professionals, identifying their needs and providing appropriate solutions.
• Research and resolve complex prior authorization and claim issues, taking steps to prevent repeat calls and escalations.
• Collaborate with internal partners to ensure issues are resolved and communicated to providers in a timely manner.
• Navigate multiple systems to extract necessary information, leveraging your multitasking skills to resolve issues across various lines of business.
• Influence providers to utilize self-service digital tools, aiding in faster resolution and navigation.

Essential Qualifications

• High School Diploma or equivalent work experience.
• At least 1 year of customer service experience, with a proven track record of analyzing and solving customer concerns.
• Proficiency in computer and Windows PC applications, with the ability to learn new and complex systems.
• Typing speed of 35-40 WPM with an accuracy of 90%.
• Availability to work a full-time schedule (40 hours/week), with flexibility to work any 8-hour shift between 9:35 AM - 6:05 PM CST, Monday - Friday.

Preferred Qualifications

• 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

• Reside within the state of New Mexico.
• Ability to maintain the security and confidentiality of company-sensitive documents.
• Dedicated work area that is separate from living areas and provides information privacy.
• Access to a high-speed internet connection that meets blithequark's requirements.

Soft Skills

• Ability to multitask, including typing in multiple conversations.
• Effective time management skills.
• Emotional Intelligence and Empathy.
• Active Listening and Comprehension.
• Excellent written communication skills.
• Demonstrated problem-solving, organization, and interpersonal skills.
• Consistent achievement of quality and productivity standards.

What We Offer

At blithequark, we provide a comprehensive benefits package, including 10 weeks of paid on-the-job training. Our training hours are 9:00 AM - 5:30 PM CST, Monday - Friday. We also offer a dynamic work environment that challenges you to grow and develop your skills. You'll have opportunities to advance in your career, and our recognition and reward system acknowledges your performance and contributions.

Our Culture and Values

At blithequark, we're committed to creating a diverse and inclusive workplace that fosters a culture of respect, empathy, and collaboration. We believe in enabling and delivering equitable care that addresses health disparities and improves health outcomes. Our mission is to help people live healthier lives and make the health system work better for everyone.

Diversity and Inclusion

blithequark is an Equal Employment Opportunity/Affirmative Action employer. We welcome applications from diverse candidates and ensure that all qualified applicants receive consideration for employment without regard to their background, identity, or characteristics.

Join Our Team

If you're passionate about delivering exceptional customer service and are committed to making a positive impact in the healthcare industry, we invite you to apply for this exciting opportunity at blithequark. As a Provider Customer Service Call and Chat Representative, you'll be part of a dynamic team that is shaping the future of healthcare. Apply now and take the first step towards a rewarding career with blithequark!

Take the next step in your career and join our team today!