Note: The job is a remote job and is open to candidates in USA. Brighton Health Plan Solutions is a healthcare enablement company focused on improving how healthcare is accessed and delivered. They are seeking an experienced Customer Service Supervisor to manage service operations for members and providers in a high traffic call center, ensuring customer satisfaction and achievement of departmental KPIs.

Responsibilities

• The Customer Service Supervisor will handle inbound calls from physicians, hospitals and other medical provider representatives
• Supports and mentors the Team Leaders and SMEs as needed. Handles caller escalations and resolves as needed
• Continually monitors the teams call center metrics, quality assurance scores and productivity reports
• Assist the Customer Service Manager with performance reports, QA review sessions and re-training initiatives
• Manages departmental call activity and ensures appropriate staffing levels and scheduling to meet department KPI’s (Key Performance Indicators)
• Answers and handle call center calls when needed to ensure meeting KPI levels
• Conducts quality call monitoring review sessions with the Customer Service Manager to coach performance and identifies additional training needs
• Provides support to customer service representatives as needed
• Manages special projects and allocates resources as needed
• Collaborate with Network management team, Account Managers and Sales teams to gather feedback to enhance service performance
• Conducts impact analysis of any changes to service team operations to ensure internal customers are consulted and informed of pending operational changes prior to implementation
• Participate in activities designed to improve customer satisfaction and business performance
• Works with Customer Service Manager and Director to identify call reduction efforts and executes strategies accordingly
• Support projects and other departments in completing tasks when directed by management

Skills

• Experience in a high volume call center
• Experience with claims inquiry and claims review procedures
• Knowledge of medical specialties, fee schedules, complaints and appeals and call center responsibilities
• Previous experience in a physician's office, group practice, clinic or hospital based practices
• General knowledge of medical terminology, medical specialties and HIPAA Confidentiality laws
• HS diploma or GED is required
• Prior experience managing teams in a customer call center
• Experience managing call center volume through use of ACD systems
• Previous experience in quality call monitoring and performance coaching, counseling and progressive discipline
• Proficiency in healthcare transactions systems, CRMs, quality call tools and monitoring systems
• Ability to create staffing schedules and analyze call center volume, trends
• Knowledge of basic computer operations
• Intermediate knowledge of Microsoft Office including Word, Excel, Access, Powerpoint and Outlook
• Strong time management skills
• Knowledge of CPT codes, ICD-9
• Ability to learn quickly
• Knowledge of managed care procedures, claims payment policies
• Courteous with strong customer service orientation
• Bachelor's degree preferred, but not required
• Previous multi-channel experience (i.e. voice, email, and chat) a plus

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