Supervisor, Customer Service

brightonhealthplansolutions; Chapel Hill (NC); On-site; USD 55,000 - 75,000; Full time

Job summary

brightonhealthplansolutions in Chapel Hill, North Carolina is seeking an experienced Customer Service Supervisor to manage service operations and oversee call center representatives. This role involves ensuring customer satisfaction, monitoring call metrics, and staffing adjustments to meet business needs.

The ideal candidate has significant experience in a high-volume call center and is familiar with medical claims procedures. A focus on quality assurance and team performance is essential. Strong communication and time management skills are crucial for this role.

Qualifications

• Experience managing teams in a customer call center.
• Knowledge of managed care procedures and claims payment policies.
• Proficiency in quality call monitoring and performance coaching.

Responsibilities

• Manage daily performance of call center representatives.
• Conduct quality call monitoring review sessions.
• Assist in performance reports and training initiatives.
• Support customer service representatives as needed.

Skills

High volume call center experience

Claims inquiry and review procedures

Medical terminology knowledge

Customer service orientation

Strong time management skills

Education

High School diploma or GED

Bachelor's degree preferred

Tools

ACD systems

Microsoft Office

Healthcare transaction systems

Job description

About The Role

BHPS is seeking an experienced Customer Service Supervisor to manage the company’s service operations for members and providers and high traffic call center. The Supervisor directly manages the daily performance an activities of the Customer and/or Provider Service call center representatives to ensure customer satisfaction and achievement of the department’s KPI’s. The Supervisor continually reviews call traffic reports and adjusts staffing levels to meet the needs of the business.

Primary Responsibilities

• The Customer Service Supervisor will handle inbound calls from physicians, hospitals and other medical provider representatives
• Supports and mentors the Team Leaders and SMEs as needed. Handles caller escalations and resolves as needed
• Continually monitors the teams call center metrics, quality assurance scores and productivity reports
• Assist the Customer Service Manager with performance reports, QA review sessions and re-training initiatives
• Manages departmental call activity and ensures appropriate staffing levels and scheduling to meet department KPI’s (Key Performance Indicators)
• Answers and handle call center calls when needed to ensure meeting KPI levels
• Conducts quality call monitoring review sessions with the Customer Service Manager to coach performance and identifies additional training needs
• Provides support to customer service representatives as needed
• Manages special projects and allocates resources as needed
• Collaborate with Network management team, Account Managers and Sales teams to gather feedback to enhance service performance
• Conducts impact analysis of any changes to service team operations to ensure internal customers are consulted and informed of pending operational changes prior to implementation
• Participate in activities designed to improve customer satisfaction and business performance
• Works with Customer Service Manager and Director to identify call reduction efforts and executes strategies accordingly
• Support projects and other departments in completing tasks when directed by management

Essential Qualifications

• The successful candidate will have experience in a high volume call center, experience with claims inquiry and claims review procedures, knowledge of medical specialties, fee schedules, complaints and appeals and call center responsibilities
• Previous experience in a physician’s office, group practice, clinic or hospital based practices. General knowledge of medical terminology, medical specialties and HIPAA Confidentiality laws
• Bachelor’s degree preferred, but not required
• HS diploma or GED is required
• Prior experience managing teams in a customer call center
• Experience managing call center volume through use of ACD systems
• Previous experience in quality call monitoring and performance coaching, counseling and progressive discipline
• Proficiency in healthcare transactions systems, CRMs, quality call tools and monitoring systems
• Ability to create staffing schedules and analyze call center volume, trends to Knowledge of basic computer operations
• Intermediate knowledge of Microsoft Office including Word, Excel, Access, Powerpoint and Outlook
• Strong time management skills
• Knowledge of CPT codes, ICD-9 Ability to learn quickly
• Knowledge of managed care procedures, claims payment policies
• Courteous with strong customer service orientation
• Previous multi-channel experience (i.e. voice, email, and chat) a plus