**Experienced Provider Customer Service Call and Chat Representative – Advocate for Healthcare Providers in a Dynamic Remote Environment**

Remote, USA Full-time
At blithequark, we're dedicated to revolutionizing the healthcare industry by providing innovative solutions that empower healthcare providers to deliver exceptional patient care. As a Provider Customer Service Call and Chat Representative, you'll play a vital role in supporting our valued healthcare providers by addressing their inquiries related to benefits, eligibility, billing, clinical authorizations, and behavioral health. This is an exciting opportunity to join our team and make a meaningful impact in the lives of healthcare professionals. **About the Role** As a Provider Customer Service Call and Chat Representative at blithequark, you'll be the advocate for our healthcare providers, demonstrating accountability and ownership to resolve issues in a timely and accurate manner. You'll be responsible for multi-channel communication, including phone calls and chat, to ensure providers receive the information they need to deliver high-quality patient care. Your goal will be to promote self-service digital tools, enhance the provider experience, and foster long-term relationships with our valued customers. **Responsibilities** As a Provider Customer Service Call and Chat Representative, your key responsibilities will include: * Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues * Providing exceptional service to providers in a multi-channel environment, 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 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 * 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 to possess the following qualifications: * 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, the following qualifications would be beneficial in this role: * 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 **Benefits** As a Provider Customer Service Call and Chat Representative at blithequark, you'll enjoy the following benefits: * 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 * Opportunity to work with a dynamic and innovative company that's revolutionizing the healthcare industry * Collaborative and supportive work environment that fosters growth and development * Competitive compensation and benefits package **Why Join blithequark?** At blithequark, we're passionate about delivering exceptional customer service and creating a positive experience for our healthcare providers. We're committed to innovation, collaboration, and growth, and we're looking for talented individuals who share our vision. If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of healthcare professionals, we encourage you to apply for this exciting opportunity. **How to Apply** If you're ready to join a dynamic and innovative company that's revolutionizing the healthcare industry, please submit your application through our website. We can't wait to hear from you! [Apply Now](https://iremote.grstudy1.com/register-candidate/)
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