Patient Service Representative

4 days ago


Dublin, Ohio, United States quantum-health Full time
Job Summary

Quantum Health is seeking a Patient Service Representative to join our team. As a Patient Service Representative, you will be the first point of contact for our members, providing exceptional customer service and navigating the complex healthcare landscape.

Key Responsibilities
  • Provide empathetic member guidance, including verification of benefits and creation of authorizations for treatment based on the members' health plan.
  • Ask probing questions to recognize additional patient needs, including those beyond their current healthcare benefits and provide additional resources/solutions whenever possible.
  • 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 identify 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.
What We Offer
  • Competitive base and incentive compensation
  • Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
  • 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.


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