Customer Solutions Specialist

Full Time
Remote
Posted Just posted
Job description
Overview:
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.
Responsibilities:
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
Qualifications:
  • 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.

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