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Performance Support Specialist - Bilingual Vietnamese

External
healthfirst logoHealthfirst · Worldwide
$47K–$62K/yrFull-timeRemote2w ago
ComplianceExcelProcess Improvement
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Requirements

  • High School Diploma or GED from an accredited institution
  • Healthcare industry experience
  • Experience working in customer service
  • Excellent telephone & customer service skills
  • Experience working in clerical or administrative capacity
  • Experience meeting strict deadlines
  • Proficient in Microsoft suite of applications including Word, Power point, Outlook and Excel.
  • Associate degree from an accredited school
  • Conflict Resolution Experience
  • Experience handling complex situations and/or projects
  • Experience in developing and coaching of staff
  • Compliance & Regulatory Responsibilities: NA
  • License/Certification: NA
  • EEO Law Poster and Supplement
  • Hiring Range*:
  • Greater New York City Area (NY, NJ, CT residents): $47,403 - $62,400
  • All Other Locations (within approved locations): $41,101 - $60,320
  • As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
  • *The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.

Benefits

Health insuranceDental insuranceVision insurance401(k)

Additional Information

The Performance Support Specialist will be responsible for providing assistance in resolving complaint issues escalated by the representatives. This role is required to pull non-urgent complaint reporting through various systems on a daily basis, review each matter and reach out to the member in order to provide determinations while maintain a tracking system for any and all incoming complaint issues. Duties & Responsibilities: Assist in resolving customer complaints escalated by internal and external business partners as needed. Assist in reviewing and modifying Physician capitation reports. Assist in resolving member issues who called in multiple times with the same issues. Assist in responding and resolving escalated inquiries from other departments and external contacts. Make recommendations on process improvements. Build sustainable relationships of trust through open and interactive communication with internal and external customers. Able to properly follow procedures based on issues and documents received Make recommendations to management concerning staff performance. Make recommendations on process improvement. Maintain open exchange of information with external and internal customers. Required to multi-task, prioritize and manage time effectively. Timely filing of complaints. Conduct outreaches as required. Attend meetings as business requires. Additional duties as assigned.


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