Healthcare Navigator
6 days ago
Company Overview
Founded in 1999, Quantum Health is a privately-owned, independent healthcare navigation organization headquartered in Central Ohio. We believe that no one should have to navigate the cost and complexity of healthcare alone.
About Us
We're a big-hearted, tech-savvy team fighting to ensure our millions of members get the care they need, when they need it, at the most affordable cost. Our mission is to make healthcare simpler and more effective for everyone.
Salary
The Patient Service Representative (PSR) role offers a competitive base salary of $18 per hour, with opportunities for incentive compensation and bonuses.
Job Description
The PSR is Quantum Health's entry point into healthcare navigation. This role involves interacting with members, clinicians, and service providers on the phone, using leading technology to simplify the complex healthcare landscape.
Key Responsibilities:
- Provide exceptional customer service through inbound/outbound calls in a modern contact center environment.
- Offer empathetic member guidance, including verification of benefits and creation of authorizations for treatment based on the members' health plan.
- Act as an advocate for our members by communicating with network liaisons, clinical professionals, and finance staff members at hospitals and medical offices.
- Partner with internal clinical professionals in providing member guidance and identifying when members should be connected directly with Quantum Health Nurses.
- Investigate financial discrepancies and claim issues to ensure our members and clients are billed appropriately.
Required Skills and Qualifications
To succeed in this role, you'll need:
- A High School Diploma or General Education Development (GED) equivalent.
- Strong customer service skills with a caring personality.
- Excellent communication skills (spoken and written).
- Ability to quickly master new technologies.
- A naturally curious approach to solving problems and working more efficiently.
- A high degree of personal accountability and trustworthiness.
Benefits
As a Quantum Health employee, you'll enjoy:
- A comprehensive benefits package, featuring health, vision, and dental insurance, life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services, and more.
- A 401(k) plan with up to 4% employer match and full vesting on day one.
- Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
- Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings, and leadership development.
Environment
We offer a modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary, and dry-cleaning services.
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