Hybrid Care Specialist, Case Manager I

Posted 3 weeks ago

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About the role

  • Manage a high-volume inbound/outbound Service Center Calls dealing with Human Resources related inquiries (time-off, payroll, timekeeping, employee health) and process patient and health plan care requests
  • Follow up with patients, caregivers, and health plans for time sensitive inquiries and escalations
  • Maintain exceptional customer service for all callers, as indicated by call reviews and after call surveys
  • Input accurate data entry of sensitive information
  • Conduct status reviews, over the phone, and record reviews, to ensure service delivery of caregivers and compliance
  • Screen patients and caregivers for additional programs and benefits to enhance their lives
  • Maintain reliable work schedules
  • Display empathy, actively listening, and clearly communicate with callers to ensure their needs are addressed and to foster a positive experience and relationship
  • Address all questions or complaints, and provide an accurate and efficient response time of resolution; consistently meet internal service level agreements and goals in a timely manner
  • Follow up and engage with patients and caregivers via phone calls, SMS, and emails, in a professional manner
  • Serve as a key point-of-contact for enrolled caregivers such as for pay discrepancies, timesheet errors, direct deposit change, schedule change of caregivers, and more
  • De-escalate situations involving dissatisfied customers, offering patient assistance and support; escalate unresolved patient and caregiver issues to the appropriate teams to ensure a quick turnaround time and resolution
  • Adhere to a revolving monthly client service and compliance standard
  • Effectively input and update the case file and account data within CRMs
  • Manage call dashboards and reporting to assist in managing assignments

Requirements

  • Must be able to commute into Las Vegas, NV office 3 times a week (Mondays, Tuesdays and a third day) as this is a hybrid role
  • Previous experience in a Customer Service environment
  • At least 1 year of experience in high-volume inbound call center or contact center environment
  • Experience with CRMs or Workforce Technology – Salesforce, Medflyt, and Verint
  • A passion for providing a high level of customer service, including the ability to show empathy, active listening and patience
  • Ability to organize, set priorities and manage time effectively
  • Strong verbal and written communication skills, demonstrating active listening and adaptability to different personality types
  • Ability to resolve issues over the telephone with eager customers, comfortably, defusing and de-escalating frustrated callers successfully
  • Attention to detail in reviewing records
  • Ability to meet and/or exceed targets/metrics
  • Computer proficiency required; strong typing skills and ability to leverage technology and resolve customer issues efficiently while notetaking/multitasking

Benefits

  • Competitive compensation
  • Medical benefits
  • Retirement plans
  • Wellness programs
  • Ongoing learning opportunities

Job title

Care Specialist, Case Manager I

Job type

Experience level

Junior

Salary

$18 - $22 per hour

Degree requirement

High School Diploma

Location requirements

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