Overview

*Required On-site training in Campbell, CA (Beautiful Bay Area!) for a week.

Broadpath is hiring a Healthcare Provider Service Representative to work from home after a mandatory paid on-site training in Campbell, CA. Our Representatives will primarily answer member and provider telephone inquiries. You will handle various customer service tasks, ensuring that all issues and concerns are resolved efficiently by answering inquiries related to claims and benefits. The ideal candidate will bring a strong understanding of healthcare systems, including familiarity with ICD-9 and CPT codes, and be adept at multitasking in a fast-paced environment.

Responsibilities

• Answer member and provider telephone calls, adhering to performance standards and departmental procedures

• Research and address caller questions, providing solutions to member and provider concerns

• Collaborate with Claims, Medical Management, and Network Management departments to resolve member and provider issues

• Document and track all contacts in the system to ensure issues are recorded and resolved

• Conduct member and provider satisfaction surveys, as needed

Qualifications

• Travel Requirement – minimum 7 days required travel.

• Minimum two years in the healthcare, familiar with ICD‐9 codes and CPT codes required

• At least 1 year of claims processing experience or a strong knowledge of provider billing procedures

• Proficient understanding of health plan benefit programs and ability to explain these programs to members

• Strong attention to detail, with the ability to research and resolve complex issues

• Effective written and verbal communication skills, especially in managing telephone-based customer interactions

• Proficiency in Microsoft Office (Word, Excel, Outlook) and experience with websites, browsers, and chat software

• Experience with navigating multiple tasks and systems simultaneously

• Ability to work effectively within a team environment

Travel Requirement:

Must be available for a minimum of 7 days of travel.

On-Site Training: This role requires on-site training in Campbell, CA.

Diversity Statement

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.