Customer Experience Specialist I

3 months ago

Dallas, United States Southwestern Health Resources Full time

** Customer Experience Specialist I - Care 'N Care**

****

**Position Responsibilities** **SWHR Customer Experience Specialist I** provides exceptional service across entire health plan customer base via telephonic, electronically or in person methods as applicable. Serve health plan member population, prospective members, sales agents and healthcare providers with issues including but not limited to benefits and eligibility validation, claims status and complex claims routing, billing, enrollment, provider search, PCP assignment and appointment setting, provider portal questions, benefit education, appointments and RSVP processing, assist with incoming enrollment facilitation, may assist in supporting health plan events, prior authorization status, pharmacy inquiries, provider dispute, appeals and grievance and other inquiries as presented. Identify proper protocol routing, triage and escalation as necessary as well as full accountability of follow through and close out, including clear and relative documentation of standard and escalated issues at all times. Maintain personal metrics to established performance levels of the individual and team. Responsibilities may vary depending on seasonal business needs. Proactive telephonic outreach and engage customer base as necessary which may involve various customer interactions including but not limited to welcoming new members to the health plan, customer retention and loyalty, quality healthcare initiatives, PCP updates, and other special projects as assigned. Research and clearly document complex issues across multiple databases and work with support resources, internally and externally, as applicable to resolve customer issues and/or partner with others to resolve escalated issues and submission of appeals, grievances, disputes and/or complaints from entire customer base. **Why Southwestern Health Resources**

As a Southwestern Health Resources youll enjoy: comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more. **Moving healthcare forward**

At the heart of SWHR are people who help people. We care about those we serve and each other. To be the national leader in providing population-based healthcare, our more than 850 employees use their knowledge, data insights and clinical experience to deliver care to the right patient, at the right time and in the right setting. By connecting physicians to patients and clinical insights to better outcomes, SWHR lowers costs, optimizes value, and builds a better healthcare system for all. * Combining the strengths of UT Southwestern Medical Center, Texas Health Resources and more than 2,500 community physicians, we offer the largest provider network in North Texas. SWHR covers approximately 700,000 patient members across 16 counties in North Texas.

* SWHR is the parent organization of Care N Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas.

Additional perks of being a SWHR Customer Experience Specialist I * Location: Dallas, Texas, United States

* Job Field: Clerical/Admin

* Shift: Day Job

* Schedule: Full-time

* Pay Basis: Hourly

* Minimum Salary: US Dollar (USD) 16.18

* Market Salary: US Dollar (USD): 19.71

* Maximum Salary : US Dollar (USD) 24.06

  • Customer Experience Specialist I

    1 month ago

    Dallas, Texas, United States Southwestern Health Resources Full time

    Customer Experience Specialist I Job SummaryWe are seeking a highly skilled Customer Experience Specialist I to join our team at Southwestern Health Resources. As a Customer Experience Specialist I, you will be responsible for providing exceptional service to our health plan members, prospective members, sales agents, and healthcare providers.Key...

  • Customer Experience Specialist

    4 weeks ago

    Dallas, United States Smart City Locating Full time

    Do you text faster than you talk? Are you the first friend to respond in a group chat? Are you obsessed with social media and follow all your favorite brands? Do you thrive in a position where you can measure your success? If you answered yes, keep reading. We’re searching for a fun, go-getter who thrives in a fast paced environment, gets shit done, and...

  • Customer Experience Specialist

    4 weeks ago

    Dallas, United States Smart City Locating Full time

    Do you text faster than you talk? Are you the first friend to respond in a group chat? Are you obsessed with social media and follow all your favorite brands? Do you thrive in a position where you can measure your success? If you answered yes, keep reading. We're searching for a fun, go-getter who thrives in a fast paced environment, gets shit done, and is...

  • Customer Experience Specialist

    4 months ago

    Dallas, United States Smart City Locating Full time

    Do you text faster than you talk? Are you the first friend to respond in a group chat? Are you obsessed with social media and follow all your favorite brands? Do you thrive in a position where you can measure your success? If you answered yes, keep reading.  We're searching for a fun, go-getter who thrives in a fast paced environment, gets shit done, and is...

  • Customer Experience Specialist

    3 weeks ago

    Dallas, United States Hearst Full time

    The Opportunity Homecare Homebase is searching for a Customer Experience Specialist to troubleshoot software issues for our clients and ensure the best possible experience with Homecare Homebase. The Challenge At Homecare Homebase, we help home healt Customer Experience, Specialist, Patient Care, Experience, Customer, Retail

  • Customer Experience Specialist

    4 months ago

    Dallas, United States Smart City Locating Full time

    ** Customer Experience Specialist** **Job Category****:** Customer Experience **Requisition Number****:** CUSTO001239 Showing 1 location **Job Details** **Description** **Position Summary**: The **Customer Experience** (**CX) Specialist** oversees inbound communication for all branches as needed. Performs all but not limited to attending team and company...

  • Customer Experience Specialist

    3 weeks ago

    Dallas, Texas, United States Lane Bryant Full time

    About UsLane Bryant is a leading plus-size fashion brand that has been empowering women for over 120 years. Our mission is to provide high-quality clothing that makes women feel confident and beautiful. We believe in the power of fashion to transform lives and are committed to creating a welcoming and inclusive environment for all customers and...

  • Customer Experience Specialist

    4 weeks ago

    Dallas, United States Talking Out Of Turn Full time

    Job Title: Customer Experience Specialist Company: Talking Out of Turn (TOOT) Location: Dallas, TX Employment Type: Full-Time About Talking Out of Turn (TOOT): Talking Out of Turn (TOOT) is a vibrant lifestyle brand known for its fun and functional products, ranging from stationery and gifts to bags and home décor. Our mission is to bring joy and creativity...

  • Customer Experience Specialist

    1 month ago

    Dallas, Texas, United States Best Buy Full time

    Customer Experience Specialist **Job Summary** As a Sales Consultant - Appliance Outlet at Best Buy, you will be responsible for delivering a world-class customer experience. You will provide velocity and solution support to solve customer needs, ensuring that no customer is left unserved or underserved. **Key Responsibilities** * Implement assigned...

  • Customer Experience Specialist

    4 days ago

    Dallas, Texas, United States Kathy Wall - State Farm Agent Full time

    Customer Relationship BuildingWe are seeking a vibrant individual to join our team as a Customer Experience Specialist. As a key member of our office, you will be responsible for establishing and maintaining strong relationships with our customers.Key Responsibilities:Develop leads and schedule appointments to meet customer needsMarket appropriate products...

  • Customer Experience Specialist

    4 weeks ago

    Dallas, Texas, United States Smart City Locating Full time

    About the RoleWe are seeking a highly skilled and motivated Customer Experience Specialist to join our team at Smart City Locating. As a key member of our customer service team, you will be responsible for delivering exceptional customer experiences through various communication channels, including social media, email, and phone.Key ResponsibilitiesManage...

  • Customer Experience Specialist

    1 month ago

    Dallas, Texas, United States Smart City Locating Full time

    About the RoleWe are seeking a highly skilled and motivated Customer Experience Specialist to join our team at Smart City Locating. As a key member of our customer experience team, you will be responsible for creating a positive and engaging experience for our customers across various channels, including social media, email, and phone.Key...

  • Customer Experience Specialist

    4 weeks ago

    Dallas, Texas, United States Smart City Locating Full time

    About the RoleWe are seeking a highly skilled and motivated Customer Experience Specialist to join our team at Smart City Locating. As a key member of our customer experience team, you will be responsible for creating a positive and engaging experience for our customers across various channels, including social media, email, and phone.Key...

  • Customer Experience Specialist

    1 month ago

    Dallas, Texas, United States Mindzie Full time

    Customer Experience SpecialistWe are seeking a highly motivated and organized individual to oversee all aspects of customer success. As the internal voice of customers, partners, and consultants, you will work closely with our senior team to ensure the Mindzie studio is successfully implemented and provides maximum value to our clients.You will be joining a...

  • Customer Experience Specialist

    4 weeks ago

    Dallas, Texas, United States Talking Out Of Turn Full time

    About Talking Out of Turn (TOOT)Talking Out of Turn (TOOT) is a vibrant lifestyle brand known for its fun and functional products, ranging from stationery and gifts to bags and home décor. Our mission is to bring joy and creativity into everyday life through our high-quality items. We are committed to providing excellent customer service to both individual...

  • Customer Service Experience Specialist

    1 day ago

    Dallas, Texas, United States EssilorLuxottica Group Full time

    At EssilorLuxottica Group, we're not just a leading eyewear company - we're a team of passionate professionals who share a common goal: to deliver exceptional customer experiences. We're currently seeking a Customer Service Experience Specialist to join our team and help us achieve this goal.Estimated Salary: $45,000 - $65,000 per year (dependent on location...

  • Customer Experience Specialist

    3 weeks ago

    Dallas, United States Hearst Full time

    Job DescriptionThe Opportunity Homecare Homebase is searching for a Customer Experience Specialist to troubleshoot software issues for our clients and ensure the best possible experience with Homecare Homebase. The Challenge At Homecare Homebase, we help home health and hospice organizations across the nation overcome the business and technological...

  • Site Specialist I

    3 weeks ago

    Dallas, Texas, United States Thermo Fisher Scientific Full time

    Job Title: Site Specialist IAs a Site Specialist I at Thermo Fisher Scientific, you will play a critical role in supporting our customers by providing exceptional service and ensuring the smooth operation of our inventory management systems.Key Responsibilities:Perform inventory management activities, including receiving, stocking, and disbursement of...

  • Site Specialist I

    2 weeks ago

    Dallas, Texas, United States Thermo Fisher Scientific Full time

    Job Title: Site Specialist IAs a Site Specialist I at Thermo Fisher Scientific, you will play a critical role in supporting our customers by providing exceptional service and ensuring the smooth operation of our on-site programs.Key Responsibilities:Perform stockroom duties, including receiving, put-away, stock rotation, cycle counts, and other functions...

  • Customer Experience Specialist

    5 months ago

    Dallas, United States Azerion Group Full time

    **Customer Experience Specialist (Dutch)** Gaming Barcelona, Barcelona Minimum Experience **Mid-level** Sulake is an Azerion company. A European, tech-based, media- and entertainment firm. Currently, we run several successful casual games portals and Apps such as Governor of Poker, Plinga, Spele.nl, Zigiz.com, Funnygames.nl, Operate now, Animal Hospital,...