Quantum Health is an independent healthcare navigation organization headquartered in Central Ohio, dedicated to simplifying healthcare for its members. As a Patient Service Representative, you will assist members in navigating their healthcare journey by answering questions about benefits, claims, and provider options while advocating for necessary services and identifying cost-saving opportunities.
Responsibilities
- Resolve inquiries efficiently by handling inbound/outbound calls, in both English and Spanish, 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
- Spoken and written fluency in both English and Spanish
- Passion for helping others and ensuring a positive experience for members
- Ability to think critically, use available resources, and adapt to evolving challenges
- Comfortable handling phone conversations and emails professionally and efficiently
- Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently
- 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
- 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.