Quantum Health is an independent healthcare navigation organization headquartered in Central Ohio, dedicated to making healthcare simpler and more effective for its members. As a Patient Service Representative, you will assist members with their healthcare journey by answering questions about benefits, claims, and provider options, while also identifying cost-saving opportunities and advocating for necessary services.
Responsibilities
- Resolve inquiries efficiently by handling inbound/outbound calls and addressing concerns in a timely manner
- Show empathy and support to members during difficult healthcare situations
- Provide clear guidance on healthcare plans, billing, and provider options
- Advocate for members by coordinating with providers and insurers to remove barriers to care
- Work collaboratively with internal teams to ensure accurate and seamless service
- Meet performance goals while continuously learning and developing expertise in healthcare navigation
- All other duties as assigned
Skills
- High School Diploma or General Education Development (GED) equivalent required
- Customer-Focused Mindset: Passion for helping others and ensuring a positive experience for members
- Problem-Solving Skills: Ability to think critically, use available resources, and adapt to evolving challenges
- Strong Communication: Comfortable handling phone conversations and emails professionally and efficiently
- Tech Savvy: Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently
- Accountability & Dependability: A consistent, reliable presence with a commitment to meeting work schedule expectations and a commitment to working within Quantum Health's policies, values and ethics, and protect the sensitive data entrusted to us
- Growth-Oriented Attitude: Eagerness to learn, take on new challenges, and develop professionally within the healthcare industry
- College coursework or degree is a plus
Benefits
- Flexible wellness programs
- Additional leave policies
- Comprehensive benefits designed to support work-life balance
Company Overview
Quantum Health provides advocacy and support for employee benefits and healthcare management. It was founded in 1999, and is headquartered in Columbus, Ohio, USA, with a workforce of 1001-5000 employees. Its website is http://quantum-health.com.