**Experienced Provider Customer Service Call and Chat Representative – Remote in Florida**

Remote Full-time
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 calls or chats are ever the same? If so, we invite you to join blithequark as a Provider Customer Service Call and Chat Representative, working remotely from the comfort of your own home in Florida. At blithequark, we're committed to delivering exceptional service to our healthcare providers, and we're looking for talented individuals like you to join our team. As a Provider Customer Service Call and Chat Representative, you'll be the advocate for our providers, demonstrating accountability and ownership to resolve issues and exceed their expectations. **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 multi-tasking 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 10:35 AM - 7:05 PM CST from Monday - Friday. **Nice-to-haves:** • Prior health care experience and knowledge of healthcare terminology. • Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools. **Benefits:** • 12 weeks of paid training. • Flexibility to work remotely from Florida. **What You'll Love About Working at blithequark:** • Our dynamic and supportive team environment, where collaboration and open communication thrive. • Opportunities for career growth and professional development, with a focus on continuous learning and improvement. • A comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) plan. • A flexible and remote work arrangement, allowing you to balance your work and personal life. • A fun and inclusive company culture, with regular team-building activities and social events. **How to Apply:** If you're a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience and qualifications for this role. We can't wait to hear from you! **Equal Employment Opportunity:** blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion. **Contact Information:** For more information about this role or to submit your application, please visit our website at [insert website URL]. You can also contact our HR team at [insert email address] or [insert phone number]. We look forward to hearing from you!
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