Coach Operations agents (peer to peer) on areas of opportunity for improvement found during evaluations and collaborate with training for new hires, refresher, and nesting training
Perform and document results of all quality assurance evaluations on operational products and services, including benefit verification cases, patient assistance cases, software support calls/emails, inbound calls, and data entry
Participate in internal, vendor, or client calibration meetings as required (does not lead them)
Identify and escalate critical quality issues appropriately to senior management
Utilize analytical skills to analyze data, processes, and workflows to provide actionable coaching for Operations Agents
Assist with other QA-related functions and responsibilities as needed to meet department and company goals
Audit work completed by Operations agents, send feedback to Operations leadership, attend meetings, help with data analysis, and perform other duties as assigned
Availability to work occasional evening and/or weekend hours
Requirements
Highschool or relevant experience
1 – 3 years as a Case Manager, Benefit Verification Specialist, or Contact Center agent at ConnectiveRx, or equivalent experience in a similar role in another company, or 1 – 3 years of prior quality control experience
Moderate Excel ability (data validation, data entry, tables, simple formulas)
Experience with technical writing (e.g., SOPs, User Manuals, Work Instructions), typing, and PowerPoint ability
Solid working knowledge of quality-orientated services such as accuracy management, performance metrics, customer experience/satisfaction, healthcare benefits, and SOP execution
Health Care Experience required (claim processing, contact center, benefit verification, or similar industry experience)
Call Center and/or Claim Processing experience is a plus
Problem-solving, results-oriented, active listening, and high attention to detail
Monitor telephone calls and communications between The Customer and The Customer Care Center; strong understanding of empathy in patient interactions
Work in a matrix environment requiring strong collaboration skills
Availability to work occasional evening and/or weekend hours to meet company and departmental goals as the business need arises