Patient Service Representative
About The Position
Quantum Health is an independent healthcare navigation organization dedicated to making healthcare simpler and more effective for its members. The Patient Service Representative plays a crucial role in assisting members with their healthcare journey, acting as their main point of contact for questions about benefits, claims, and provider options. The role involves ensuring members receive the right care at the right time, empowering them with knowledge, identifying cost-saving opportunities, and advocating for necessary services. This position requires collaboration with internal teams to streamline healthcare access and support members in understanding medical bills, coordinating pharmacy needs, and removing barriers to care.
Requirements
- 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.
- Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
Nice To Haves
- college coursework or degree is a plus!
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.
Benefits
- Health, vision and dental featuring our best-in-class healthcare navigation services
- life insurance
- legal and identity protection
- adoption assistance
- EAP
- Teladoc services
- 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
- Tuition reimbursement up to $5,250 annually
- certification/continuing education reimbursement
- discounted higher education partnerships
- paid trainings
- leadership development
- Recognition as a Best Place to Work for 15+ years
- dedication to diversity, philanthropy and sustainability
- people-first values
- 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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
