Healthcare Customer Solutions Expert- Escalations

The Customer Advocacy Specialist incumbent serves as a critical subject matter expert (SME) role in driving resolution for internal or external issues or complaints. He or she will be able to de-escalate and resolve issues with a high level of independence. This role assists the Supervisor/Manager with coaching, on-the-job training, monitoring work, mentoring new associates and driving results. This position may also serve as a back-up in production. Candidate to work \cross-functionally to identify areas of opportunity/performance improvement and recommend solutions.

In this role you will:

• Act as main point of contact for escalated calls and requests
• Adhere and meet service level agreements and performance goals as set by the clients
• Monitor and/or complete production, as applicable
• Manage payer, provider and patient complaint resolution.
• Work with supervisors drive efficient case handling and quality.
• Work with supervisors to create efficient work plans and trending root cause.
• Support cross-functional process improvement efforts and provide feedback to other business partners.
• Perform other duties as required or assigned.

SECONDARY RESPONSIBILITIES

• Respond to calls/e-mails in a timely manner
• Be proficient with entering information into CART system
• Projects/spreadsheets – across all operations
• Act as a resource for Customer Service Representatives, line staff-research process issues
• Monitor sensitive State Reports

• High School Diploma or the equivalent
• 3 years of experience in an Operations/Production support role.
• Basic computer skills and data entry with speed and accuracy is required.
• Knowledge of department systems and processes, CareCentrix business protocols, and regulatory compliance (preferred). 

What we offer:

• Starting at $18.00 / hour plus corporate bonus incentives
• Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match.
• Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more.
• Advancement opportunities, professional skills training, and tuition Reimbursement
• Great culture with a sense of community.

CareCentrix maintains a drug-free workplace.

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We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law.