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Job Description
Lead Customer Solution Center Service Representative
> Type: Full-Time / Contract
> Location: Los Angeles, CA (Remote)
>
> Job Summary
> The Lead Customer Solution Center Service Representative is
> responsible for the development of a successful and cohesive Call
> Center unit, with a high level of productivity to achieve the
> department's overall performance metrics, and to meet and/or exceed
> member satisfaction. Assist Call Center Supervisors with the
> supervision of Member Services Representatives by closely monitoring
> performance, which includes but not limited to: coaching, mentoring,
> motivating, counseling, etc. to ensure they are providing optimal
> customer services and meeting and/or exceeding department goals.
> Duties
>
> * The leadership of day to day activities of Member Services
> Representatives, including but not limited to: Providing direction.
> * Monitoring of staff performance including attendance. Handling all
> questions/issues raised by staff. Recommending process improvement
> processes.
> * Preparing and analyzing call center statistical reports.
> * Monitoring/Adjusting of skill-sets for consistency.
> * Ensuring quantity/quality is met for overtime.
> * Handle escalated calls. Back-up to calls as needed.
> * Assist Supervisor to ensure that Representatives provide accurate,
> timely and quality service to our members/providers.
> * Ensure that all departmental policies, procedures and standards
> are being met, as well as the organization's mission. Assist
> Supervisor to ensure that deviations in performance are identified in
> advance and process changes are made to redirect performance to
> acceptable levels.
> * Assist Supervisor to ensure that we provide accurate, timely and
> professionally written, statistical and verbal reports to management
> for historical, current status and forecasting purposes.
> * Assist Supervisor in reviewing the Representatives overall quality
> accuracy. (40%) Trains and motivates staff.
> * Ensures appropriate service standards are developed and
> maintained. (5%) Work with training staff to ensure that training
> practices support staffing and performance standards, takes
> responsibility for identifying on-going training needs and integrating
> training and performance expectations as well as work closely with
> Supervisors to create and/or modify Desk top procedures.
> * (5%) Work closely with management to review performance and
> quality standards on an ongoing basis and to assist with development
> and implementation incentive programs.
> * As well as motivational programs needed to achieve service
> standards. (10%) Ensures that front line service personnel are
> capturing information and providing feedback to Supervisors that will
> enable L.A. Care to improve its product and internal process. (10%)
> Represents the Department when requested at meetings.
> * Assist Supervisor with meetings and provides necessary feedback
> when requested. (5%) Ensure department remains in compliant with HIPAA
> regulations relating to protected health information (PHI). (10%)
> Maintains attendance expectations.
> * (5%) Perform other duties as assigned. (10%)
>
> Education Required
> High School Diploma/or High School Equivalency Certificate
> Education Preferred
> Associate's Degree
> Experience
> Required:
> At least 0-2 years of customer service experience with 06 mths-1 year
> lead experience in a health plan/ healthcare customer service call
> center environment.
> Preferred:
> Experience in working with the disadvantage population, Covered
> California, and Cal MediConnect.
> Skills
> Required:
> Must have knowledge in direct line of business.
> Must know Medical Terminology. Must have excellent written and verbal
> communication skills. Strong analytical, coaching/mentoring skills,
> team building.
>
> Ability to work effectively with diverse team members.
>
> Must also have the ability to troubleshoot problem areas and recommend
> effective alternative solutions to handle irate callers, and provide
> optimal customer service for internal and external customers. Must be
> flexible with time and be able to work overtime including weekends.
> Must be able to multitask and to streamline day to day operations,
> policies and procedures. Must have advance PC skills including Excel
> and Access.
>
> _If you are qualified, available, interested or planning to make a
> change or know about a friend in your network who might have the
> required qualifications and interest,
Skills