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Member Escalation Specialist

Healthcare Support Staffing

Location: Tampa, Florida
Type: Non-Remote
Posted on: July 8, 2021
This job is no longer available from the source.
Are you an experienced Member Escalations Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!
Daily Responsibilities:
• Part of the Service Escalation Unit (SEU) team who handle the highest level of escalated issues within the organization for all lines of business (Medicare, Medicaid, PDP and Exchange).
• Research and resolve all escalations from WellCare members/providers that are addressed to Centene/WellCare Executive Offices, Executive Leadership Team or the CEO (Presidential) as well as complaints coming from the Attorney General, State officials, and other internal areas for final resolution in a professional, timely, accurate and caring manner.
• Handles and resolves escalated complaints and issues received from members, providers, Governing bodies, Regulatory Agencies, FL Ombudsman, Better Business Bureau, Department of Health, Department of Insurance, Attorney General, Social Media, Centene/WellCare Legal Department, and Centene/WellCare Corporate Compliance Department.
Requirements:
• High School Diploma or GED
• 2+ years of experience handling escalated phone calls (not looking for an entry-level customer service rep)
• Experience with Medicare and Medicaid
Hours for this Position:
• Monday to Friday, 8AM to 5PM
Advantages of this Opportunity:
• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment
Interested in being Considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
kroque@healthcaresupport.com
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.