Healthcare Complaints Coordinator I — Data Entry

ADP, Inc.; Dallas (TX); On-site; USD 25,000 - 28,000; Full time

Job summary

Qlarant is seeking a Customer Service Coordinator I to handle Medicare Advantage and Prescription Drug program complaints. The role involves interviewing complainants, researching cases, and entering data into the case management system under close supervision.

Ideal candidates have a high school diploma and 0–2 years of experience, with preferred familiarity in call centers and healthcare or Medicare. This is a full-time, on-site position in Dallas, TX.

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.
• Interviews complainants or beneficiaries concerning Medicare Advantage or Prescription Drug Programs.
• Researches subjects and beneficiaries of received complaints.
• Communicates with beneficiaries, plans, pharmacies, and providers to resolve complaints.
• Evaluates the facts of a complaint and researches additional information as necessary.
• Compiles findings and determines if appropriate for closure or presentation to Level II team.
• Handles a wide variety of confidential situations.
• Performs data entry of complaints into the case management system and other databases.
• Performs minor background research on subjects of interest for screening complaints.
• Prepares appropriate letter templates or revises content based on facts.

Skills

Call center experience

Data entry

Healthcare/Medicare knowledge

Communication skills

Education

High School Diploma or GED

Job description

Qlarant is seeking a Customer Service Coordinator I to handle Medicare Advantage and Prescription Drug program complaints. The role involves interviewing complainants, researching cases, and entering data into the case management system under close supervision.

Ideal candidates have a high school diploma and 0–2 years of experience, with preferred familiarity in call centers and healthcare or Medicare. This is a full-time, on-site position in Dallas, TX.