Quantum Health
  • Care Coordination
  • Columbus, OH, USA
  • Full Time


Bilingual Patient Services Representative


Quantum Health is a fast growing company delivering better healthcare while lowering healthcare costs. If you are passionate about helping people and want to launch a career at one of the Best Places to Work in Columbus and the USA, now is your time to join our winning culture! We are looking for Bilingual Patient Services Representatives.








Patients Services Representatives (PSRs) are the first and most frequent contact with patients, families, providers, and office staff who utilize Quantum Health's coordinated healthcare program. PSRs take several  phone calls each day. Their role is to serve as patient and provider advocate by answering all specific questions, while educating and guiding patients through the complicated process of healthcare. PSRs also follow-up on calls by completing research, solving problems, and contacting various parties to implement solutions. Compared to a typical health plan call center, this position is more intensely focused on problem solving, patient advocacy, education and guidance




Roles and Tasks:


  • Take phone calls and/or internet inquiries from patients, families, providers, and employer/client representatives and responding to inquiries regarding benefits, eligibility, claims, provider look ups and care coordination processes
  • Document all contacts with any of these parties
  • Coordinate activities between patients, providers, TPAs, PBMS, and any party impacting the healthcare of a patient, by acting as an advocate for the patient and assisting in understanding of healthcare processes and applicable benefits
  • Assist providers and members with the referral and pre-certification processes through coordination of care
  • Identify and escalate issues as appropriate
  • Assist with related projects as needed


Skills and Qualifications:


  • High School diploma or equivalent
  • Strong written and verbal communication skills
  • Empathetic attitude for patient and providers
  • Ability to take multiple incoming calls per day and deal with high-pressure, often highly emotional situations while maintaining a positive attitude
  • Ability to probe to determine root cause of problems to facilitate resolution of issue
  • Strong customer service skills and/or superior phone skills
  • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture
  • Ability to function as a team member with the working group and to interact professionally with other entities both internally and externally
  • Ability to use a headset and sit/stand in an assigned workspace in front of multiple PC screens for long period of time
  • Ability to work independently with limited need for day to day supervision
  • Outstanding computer skills a must including proficiency in Microsoft applications
  • All job offers are contingent on successful completion of a background and reference check


Join our Quantum culture which rewards hard work while having fun!  Benefits include:


  • 120 Hours (3 weeks) Paid Time Off Annually
  • Medical/dental/vision insurance including domestic partner benefits
  • 401(k)
  • On-site amenities include fitness facility, pool table, serenity room
  • Casual dress environment
  • Free beverages, snacks and ALWAYS fresh-popped popcorn


Want to join our winning culture?  Then apply today at http://www.quantum-health.com/careers/


This position has been closed and is no longer available.
Quantum Health


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