Healthcare Complaints Coordinator

ADP, Inc.; Easton (MD); On-site; USD 23,000 - 32,000; Full time

Job summary

Qlarant is seeking a Customer Service Coordinator I in Easton, MD to handle complaint intake, interview beneficiaries, and research case details related to Medicare Advantage and Prescription Drug Programs.

The role requires a high school diploma or GED and 0–2 years of experience, with 2–4 years preferred. Call center and data entry experience, plus healthcare or Medicare familiarity, are valued. It is a full-time, on-site position with a patient-centered focus.

Qualifications

• Minimum High School Diploma or GED required.
• 0 - 2 years of experience required; 2 - 4 years preferred.
• Call Center experience preferred.
• Data Entry experience preferred.
• Healthcare or Medicare experience preferred.

Responsibilities

• Receives complaints from a variety of sources and interviews complainants.
• Researches subjects and beneficiaries of complaints to determine disposition.
• Communicates with beneficiaries, plans, pharmacies, and providers to resolve complaints.
• Evaluates facts of complaints and researches additional information as necessary.
• Compiles findings and determines if closure or Level II escalation is needed.
• Performs data entry of complaints into case management systems and databases.
• Prepares appropriate letter templates based on facts presented.

Education

High School Diploma or GED

Tools

Call Center Software

Job description

Qlarant is seeking a Customer Service Coordinator I in Easton, MD to handle complaint intake, interview beneficiaries, and research case details related to Medicare Advantage and Prescription Drug Programs.

The role requires a high school diploma or GED and 0–2 years of experience, with 2–4 years preferred. Call center and data entry experience, plus healthcare or Medicare familiarity, are valued. It is a full-time, on-site position with a patient-centered focus.