Healthcare Navigator

4 days ago

Dublin, Ohio, United States quantum-health Full time
About the Role

The Patient Service Representative (PSR) role at Quantum Health serves as our entry point into healthcare navigation. As a PSR, you'll be a tech-savvy helper, investigator, and problem solver who interacts with our members, clinicians, and service providers on the phone using leading technology to simplify the complex healthcare landscape.

No experience is required for this position, as our paid six-week training program provides everything needed to succeed in this rapidly growing industry.

To learn more about what it means to work with us, please watch our video here:

Key Responsibilities
  • Provide Exceptional Customer Service: Respond to inbound and outbound calls in our modern, fast-paced contact center environment, offering empathetic member guidance and support.
  • Verify Benefits and Authorizations: Confirm members' health plans and create authorizations for treatment based on their benefits.
  • Identify Additional Needs: Ask probing questions to recognize patients' needs beyond their current healthcare benefits and provide additional resources or solutions whenever possible.
  • Act as an Advocate: Communicate with network liaisons, clinical professionals, and finance staff members at hospitals and medical offices to advocate for our members.
  • Partner with Internal Professionals: Collaborate with internal clinical professionals to provide member guidance and identify when members should be connected directly with Quantum Health Nurses.
  • Investigate Financial Discrepancies: Resolve financial discrepancies and claim issues to ensure our members and clients are billed correctly.
Required Skills and Qualifications
  • Education: High School Diploma or GED equivalent required.
  • Customer Service Skills: Possess strong customer service skills with a caring personality and a willingness to go above and beyond to ensure our members receive excellent care.
  • Communication Skills: Excellent verbal and written communication skills, comfortable talking on the phone for extended periods and responding to emails in a timely manner.
  • Technical Skills: Ability to quickly master new technologies and naturally curious approach to solving problems and working efficiently.
  • Administrative Skills: Strong administrative and technical skills, including proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones.
  • Personal Accountability: A high degree of personal accountability and trustworthiness, with a commitment to working within Quantum Health's policies, values, and ethics, and protecting sensitive data entrusted to us.
Benefits
  • Competitive Compensation: $18+ per hour, plus shift differentials for evening shifts.
  • Benefits Package: Comprehensive health, vision, and dental coverage, life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services, and more.
  • Retirement Plan: 401(k) plan with up to 4% employer match and full vesting on day one.
  • Paid Time Off: Enjoy 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
  • Professional Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings, and leadership development opportunities.
Work Environment

Enjoy a modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, a complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary, and dry-cleaning services.

We're committed to building diverse and inclusive teams, so if you're excited about this opportunity, we encourage you to apply – even if your experience doesn't match every requirement.

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