Related skills
crm microsoft office hipaa icd_9_icd_10 call_center_platforms📋 Description
- Supervise daily activities of the Member Care Specialist team
- Manage workload, scheduling, and real-time queue monitoring
- Ensure SLAs and KPIs are met; escalate issues promptly
- Present performance updates to external stakeholders
- Coach, onboard, and develop team members; conduct check-ins
- Maintain HIPAA, data privacy, and product knowledge
🎯 Requirements
- 3+ years supervisory/management in customer service or operations
- 2+ years in a TPA/health insurance or employee benefits setting
- Working knowledge CPT codes, ICD-9/ICD-10, and medical terminology
- Demonstrated professional written and verbal communication
- Experience in regulated environments with HIPAA/data privacy
- Proficiency in Microsoft Office and ability to learn new systems
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