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

Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you thrive in a fast-paced, dynamic environment where no two days are the same? If so, we invite you to join blithequark's team as an Experienced Provider Customer Service Call and Chat Representative. In this role, you will play a vital part in supporting healthcare providers who care for our members, ensuring they receive the best possible experience and outcomes. **About blithequark** At blithequark, we are dedicated to simplifying the healthcare experience and creating healthier communities. As a leading healthcare organization, we strive to provide innovative solutions that meet the evolving needs of our members, providers, and partners. Our commitment to excellence, compassion, and customer-centricity has earned us a reputation as a trusted partner in the healthcare industry. **Job Summary** As an Experienced Provider Customer Service Call and Chat Representative, you will 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 will be part of a full-time team working 40 hours a week, Monday through Friday, with shifts scheduled during our normal business hours of 11:35 AM to 8:05 PM EST. Given the nature of the business, there may be occasional overtime, weekend, and holiday work required, especially during peak seasons. **Responsibilities** • **Advocate for Providers**: Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues, ensuring timely communication and resolution of provider concerns. • **Multi-Channel Service**: Service providers in a multi-channel environment including call and concurrent chat as required, providing a seamless experience across all touchpoints. • **Triage and Resolution**: Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices), seeking to understand and identify the needs of the provider, answering questions and resolving issues. • **Complex Issue Resolution**: Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction. • **Collaboration and Communication**: Collaborate 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 to enhance their experience and expedite issue resolution. • **Multitasking and System Navigation**: 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. **Requirements** • **Education and Experience**: High School Diploma / GED OR equivalent work experience, with 1+ years of customer service experience analyzing and solving customer's concerns. • **Computer and Windows PC Applications**: Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications. • **Typing Speed and Accuracy**: Ability to type at the speed of greater than or equal to 35 - 40+ WPM (words per minute) with an accuracy of 90%. • **Availability and Flexibility**: 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** • **Related Experience**: Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools. • **Healthcare Experience and Knowledge**: Prior health care experience and knowledge of healthcare terminology. **Benefits** • **Comprehensive Training**: 10 weeks of paid on-the-job training, where attendance is mandatory, and no paid time off (PTO) is allowed during this period. • **Flexible Telecommuting Options**: Flexible telecommuting options for those within a 60-mile commutable distance. • **Career Development and Advancement**: Opportunities for career development and advancement within the organization. **Work Environment and Company Culture** As a telecommuter, you will need to adhere to blithequark's Telecommuter Policy, which includes maintaining a dedicated workspace and ensuring the security of sensitive company documents. Our company culture values collaboration, innovation, and customer-centricity, providing a supportive environment for you to grow and develop your skills. **Compensation, Perks, and Benefits** We offer a competitive compensation package, including a comprehensive benefits program, flexible telecommuting options, and opportunities for career development and advancement within the organization. **How to Apply** If you are a motivated and customer-focused individual who is passionate about making a difference in the healthcare industry, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our website. We look forward to reviewing your application and discussing this opportunity further with you. **Equal Employment Opportunity** blithequark is an equal employment opportunity employer, committed to diversity and inclusion in the workplace. We welcome applications from qualified candidates of all backgrounds and perspectives. Apply for this job