**Experienced Provider Customer Service Call and Chat Representative – Remote in Dublin, OH**

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, dynamic environment where no two days are ever the same? If so, we invite you to join blithequark's team of dedicated professionals as a Provider Customer Service Call and Chat Representative. At blithequark, we're committed to simplifying the healthcare experience and creating healthier communities. As a key member of our team, you'll play a vital role in supporting providers who care for our members. Your expertise and exceptional communication skills will enable you to navigate complex issues, advocate for providers, and provide timely resolutions to their concerns. **About the Role** As a Provider Customer Service Call and Chat Representative, you'll be responsible for responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. You'll work closely with internal partners to ensure timely communication and resolution of provider concerns, and influence providers to utilize self-service digital tools to enhance their experience and expedite issue resolution. **Responsibilities** * Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues. * Service providers in a multi-channel environment including call and concurrent chat as required. * Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices). * Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health). * Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction. * Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner. * Strong 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. * Influence providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution. **Requirements** * 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's concerns. * Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications. * Ability to type at the 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), 8-hour shift between the hours of 11:35 AM - 8:05 PM EST from Monday - Friday. **Nice-to-haves** * Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools. * Prior health care experience and knowledge of healthcare terminology. **Benefits** * 10 weeks of paid on-the-job training. * Flexible telecommuting options for those within a 60-mile commutable distance. * Opportunities for career development and advancement within the organization. **What We Offer** At blithequark, we're committed to creating a supportive and inclusive work environment that fosters growth and development. As a Provider Customer Service Call and Chat Representative, you'll have the opportunity to: * Develop your skills in a dynamic and fast-paced environment. * Work with a talented team of professionals who share your passion for healthcare. * Make a significant impact on the healthcare system by providing exceptional customer service. * Enjoy flexible telecommuting options and a comprehensive benefits package. * Pursue opportunities for career development and advancement within the organization. **How to Apply** If you're a motivated and customer-focused individual with a passion for healthcare, we invite you to apply for this exciting opportunity. Please submit your application through our website, and we'll be in touch to discuss your qualifications further. **About blithequark** blithequark is a leading healthcare organization dedicated to simplifying the healthcare experience and creating healthier communities. With a commitment to innovation, quality, and customer service, we're shaping the future of healthcare and creating opportunities for growth and development. **Join Our Team** At blithequark, we're passionate about creating a workplace that's inclusive, supportive, and empowering. We believe that our employees are the key to our success, and we're committed to providing them with the tools, training, and resources they need to thrive. If you're a customer service professional with a passion for healthcare, we invite you to join our team of dedicated professionals as a Provider Customer Service Call and Chat Representative. Apply today and take the first step towards a rewarding and challenging career with blithequark. Apply for this job