Patient Service Representative

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