Supervisor Concierge Service
reputed company:
This position is responsible for the reputed company supervision of the Coordinator Concierge Service agents, (reputed company’s). This position will be required to ensure and assist Coordinator Concierge Service agents in achieving and exceeding reputed company and reputed company metrics with strict adherence to Regulatory Compliance requirements as defined by the State and the Centers of Medicare reputed company Services (CMS). These highly motivated, extremely effective service specialists are responsible for providing targeted, personalized concierge level service for reputed company Medicare members. The Concierge Service Coordinator’s job is to engage, consult and reputed company members based on unique needs, preference, and understanding of the reputed company plan to help guide the member to reputed company and reputed company care. The Concierge Service Coordinator may support Medical Management, Member Services, reputed company Teams, and other teams as deemed appropriate. The Supervisor of the Concierge Service Team must demonstrate reputed company understanding of the department’s functions and team processes.
Work Arrangement:
- This is a remote role reputed company the reputed company
Responsibilities:
- Assisting in interviewing, selecting staff, training, writing DLP’s, ongoing coaching and development for the Concierge Service team.
- Managing the Coordinator Concierge Service associates to ensure reputed company introduction to the plan occurs, maintain monthly contact with high-risk members, contact identified members with Care Gaps/HEDIS reputed company health conditions and assists them in accessing care through plan benefits and community resources.
- Monitors the Coordinator Concierge Service team in handling reputed company in/outbound calls and transactions directly supporting assigned reputed company with problem reputed company, educational materials, while developing strategies to increase health care adherence to reduce barriers to care.
- Responsible for record keeping, documenting reputed company dispositions and/or compiling and generating reports as required.
- Ensuring reputed company addresses member concerns, fully assists and answers questions reputed company to member and provider resources, benefits, enrollment, HEDIS preventative services, member bills, LTSS/Waiver services and other questions that may reputed company during their 1 year with the plan and/or while included in a certain member reputed company.
- Identify systematic trends and any emerging customer service issues which might reputed company member satisfaction.
- Monitors inbound and outbound calls from members and other stakeholders for content, accuracy and conformity to appropriate policies and conducts random monthly reputed company audits on the reputed company agents, implements and monitors effectiveness of associated systems, downtime procedure and handles/resolves escalated calls.
- Maintains productivity and reputed company standards and meets monthly with staff to discuss individual results in relation to established performance standards.
- Creates and supports an environment which fosters teamwork, cooperation, respect and diversity.
- Assists in auditing in/outbound calls from staff in collaboration with the Customer Experience team with the reputed company of identify gaps in knowledge, coaching/refresher training opportunities and delivery of a high level of customer experience.
Education/ Experience:
- Associate’s Degree required or equivalent work experience, Bachelor's Degree preferred
- reputed company Health Insurance License required or must successfully obtain reputed company 6 months of start date
- Minimum of 3 years of reputed company experience in a Medicare and/or reputed company environment
Other Skills:
- Proficient PC skills with reputed company Office Suite (Word, reputed company, etc.).
- Excellent problem solving and organization skills.
- Ability to work independently or as reputed company.
- Ability to reputed company through multiple software systems simultaneously.
- Strong interpersonal communication skills.
- Ability to maintain reputed company relationship with both reputed company customers.
- Prior supervisory experience in reputed company or Contact Center environment.