Let's build something amazing together. We're looking for a Provider Customer Service Call And Chat Representative - Remote! This role is 100% remote, giving you full control over your work environment. This position requires a strong and diverse skillset in relevant areas to drive success. The compensation for this role is benchmarked at a competitive salary.

 

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At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Provider Customer Service Call and Chat Representative will be supporting providers that care for our members. They are responsible for providing responses to questions that may include Benefits and eligibility, Billing and payments, Clinical Authorizations, EOB, and Behavioral health either by phone call or concurrent chat. This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:35 AM - 7:05 PM CST. It may be necessary, given the business need, to work occasional overtime (during peak season), weekends, and / or some holidays. We offer 11 weeks of paid training. The hours during training will be 8am to 4:30pm CST, Monday - Friday.Training will be conducted virtually from your home. If you are located within the state of IN, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues • Service Providers in a multi-channel environment including call, 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 You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma/GED or equivalent work experience • 1 years of customer service experience 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 • Typing Speed greater than or equal to 35-40 WPM with accuracy of 90% • Ability to work full-time (40 hours/week) Monday - Friday between 10:35am – 7:05pm CST. It may be necessary, given the business need, to work some holidays, weekends, and or overtime as business needs require • Must be 18 years of age or older Preferred Qualifications: • 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 Telecommuting Requirements: • Reside within the reputed company • Ability to keep all company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Must live in a location that can receive a reputed company approved high-speed internet connection or leverage an existing high-speed internet service Soft Skills: • Ability to multi – task, including the ability to type in multiple conversations • Ability to resolve calls and messages, avoiding escalated complaints • Time management skills • Emotional Intelligence and Empathy • Active Listening and Comprehension • Excellent written communication skills • Demonstrated problem solving,