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Quality Assurance Professional
7 days ago
We are seeking a skilled Quality Assurance Specialist to join our team. In this role, you will work closely with supervisors, trainers, and team members to ensure high-quality service to customers by focusing on internal quality assurance within the operations phones teams.
Key Responsibilities:
- Receives incoming calls from members, providers, facilities, employer groups, and other departments.
- Provides superior customer service that is consistent with policies, company values, and quality standards.
- Ensures the provision of Superior Service to customers through various continuous quality improvement efforts related to issues involving workflows, processes, training, and documentation.
Required Skills and Qualifications:
- For SelectHealth positions: 18 months of SelectHealth operations experience as a Health Benefits Specialist, Member Advocate, or Pharmacy Benefits Specialist to gain an expert level understanding of operations policies, procedures, and guidelines while meeting performance standards.
- For Medical Group positions: 18 months of call center experience as a PSR in the Medical Group to gain an expert level understanding of operations policies, procedures, and guidelines while meeting performance standards.
