Job Description
Responsible for monitoring, educating, assisting and managing the Commercial/ASO call center.
Required:
- Previous call center/Customer Service experience.
- Self starter, detail oriented, ability to prioritize and meet deadlines.
- Strong focus on member experience.
- Excellent organizational skills.
- Excellent communication skills.
- Knowledge of company software and equipment.
- Good typing skills and ability to work spreadsheets.
Desired:
- Bachelor's Degree or equivalent 5 years experience in a related field.
- Medical terminology.
- CPT and ICD-10 coding knowledge.
- General knowledge of medical and hospital claims.
Responsibilities:
- Monitor staff production.
- Report daily call center stats.
- Conduct employee evaluations.
- Prepare payroll.
- Daily CSR education to help improve customer experience.
- Complete Commercial workplan.
- Assist with NCQA accreditation requirements.
- Complete employee system capability forms.
- Assist with escalated calls.
- Coordinate and assist other departments with special projects.