Provider Customer Service Call and Chat Representative

This is a Fully Remote Job

About Our Client:

The organization operates within the healthcare industry, focusing on improving the healthcare experience by simplifying access and removing barriers to quality care. It addresses challenges in healthcare delivery by creating systems that are more responsive, affordable, and optimized, impacting millions of people.

About the Opportunity:

The PROVIDER CUSTOMER SERVICE CALL AND CHAT REPRESENTATIVE plays a pivotal role as the main point of contact for healthcare providers, resolving their issues efficiently through calls and chats. The position supports provider satisfaction by managing complex inquiries, collaborating internally, and promoting digital self-service tools. This role directly contributes to improving provider relationships and the overall healthcare service experience.

Responsibilities:

• Serve as the advocate for healthcare providers, resolving issues with accountability
• Manage provider interactions across multiple channels including calls, chats, and emails
• Triage and respond promptly to contacts from healthcare professionals
• Address provider needs related to benefits, billing, authorizations, and clinical inquiries
• Research and resolve complex prior authorization and claim issues
• Collaborate with internal teams to ensure timely and thorough communication
• Navigate multiple systems efficiently to extract information across various provider types and services
• Encourage provider use of digital self-service tools to enhance resolution speed

Requirements:

• High school diploma, GED, or equivalent work experience
• At least 18 years of age
• Minimum of 1 year customer service experience resolving customer concerns
• Proficient with computer and Windows applications; able to learn complex systems
• Capability to handle 50-70 provider calls/chats daily with full attention
• Availability to work full-time Monday to Friday with flexible 8-hour shifts during business hours and occasional overtime, weekends, or holidays
• Reside within Ohio with a dedicated, private workspace
• Access to a wired high-speed internet connection meeting specified speed requirements

Preferred Qualifications:

• Healthcare experience and familiarity with healthcare terminology
• Experience in call center or customer service environments using phone and computer tools

Soft Skills:

• Strong multitasking and time management
• High emotional intelligence and empathy
• Excellent listening, comprehension, written communication, and problem-solving skills
• Typing speed of 35-40 WPM with 90% accuracy or higher

Pay Range and Compensation Package:

• The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.