Job Information
Centene Corporation Escalation Response Specialist II in Tallahassee, Florida
You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: With the corporate Contact Operations team, you will assist with researching and resolving any escalated disputes/complaints or discrepancies in premium billed amounts and/or payment transactions
Monitor queues to aid in meeting service level metrics and ensure proper billing
Assist with the onboarding and training of new Billing Operations Specialists
Support leadership by identifying trends and issues during monitoring of error queues
Assist with reconciliation projects, including reconciliation of payments between billing systems and payment vendors
Helps to coordinate with contact center team to research underlying facts of escalated inquiries, determine validity of complaints and evaluate options to remedy these complaints
Reviews complaint trends and uses guidance of senior team members to develop draft recommendations that are designed to enhance member and provider experience and reduce complaints and escalations
Maintains basic, introductory knowledge of our products and services to provide accurate and effective support to customers
In some instances, researches and identifies basic claims payment errors and make appropriate adjustments
Performs other duties as assigned
Education/Experience:
Requires a High School diploma or GED.
Requires 1 – 2 years of related experience. May require vocational or technical education in addition to prior work experience.
Preferred Skills:
Call Center de-escalation experience
excellent communication skills
the ability to multi-task
Pay Range: $17.17 - $26.97 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.