Participant Experience Specialist

7 days ago

San Diego, California, United States St. Paul's Senior Services Full time
San Diego's St. Paul's PACE program (Program of All-Inclusive Care for the Elderly). This innovative program is for individuals 55 years or older, who are living with chronic illness, or disabilities and need coordinated medical care to continue living as independently as possible in their home and community. The healthcare teams at St. Paul's PACE provide a hands-on approach coordinating medical, social, and home care services so individuals no longer need to manage their medical care alone. 
 

Job Summary:
The Participant Experience Specialist provides excellent telephonic customer service to both participants and providers within a healthcare setting. This role is responsible for addressing inquiries, resolving concerns in a timely and effective manner, and collaborating with other departments as needed to ensure high-quality service. The representative maintains accurate records of interactions, redirects calls appropriately, and ensures all communications are handled with professionalism and care.

Qualifications & Requirements:

Education: High school diploma or equivalent; Bachelor's degree preferred.Experience: Previous experience in a call center or customer service role, preferably in healthcare or related field. Minimum of one year's experience working with the frail or elderly.

Duties & Responsibilities:

Manages incoming calls from participants who may be experiencing pain, illness or are managing other health-related concerns, often seeking assistance with appointments, medications, or care coordination.Determines the nature of the incoming telephone calls, channels all incoming calls and routes calls to appropriate departments, as needed.Provides courteous and professional customer service via telephone to participants and providers.Responds to inquiries and provides information about agency services to participants, families, outside agencies, and the general public, while resolving issues and escalating concerns as needed.Collaborates effectively with internal teams and healthcare professionals to ensure a unified, comprehensive, and seamless approach to member support.Maintains detailed and accurate records of all calls and interactions while ensuring the confidentiality of company procedures, results, and information related to participants, clients, or families.Follows established protocols and procedures to ensure compliance with quality standards, while consistently meeting performance metrics related to call handling, customer satisfaction, and documentation.Exercises independent decision-making with minimal oversight, confidently managing responsibilities in alignment with organizational goals, while applying advanced problem-solving skills to navigate complex situations and drive continuous improvement in service quality.Manages calls that may involve urgent or time-sensitive healthcare needs, requiring quick thinking and effective communication, as well as calls from providers requesting information, clarification on procedures, or coordination of services.
Performs other duties as required or requested.

St. Paul's Benefits:

  • Health, dental, vision, life
  • Same day pay available
  • Flexible Vacation Time - 17 days
  • Paid Sick Time 
  • Education reimbursement - up to $3,000 a year
  • Qualified Public Student Loan Forgiveness (PSLF) employer
  • 403(b) with match
  • Child care available
  • Employee referral bonuses
  • Upward mobility

You Make Us Who We Are
 

At St. Paul's Senior Services, we believe a diverse workforce has driven our history of enriching the lives of senior communities in San Diego, which is why we are committed to cultivating an environment where you feel empowered, supported and respected. By valuing your unique perspective, voice, strengths, experience and background, we aim to foster a culture where you feel included and comfortable being your true self.  You matter
 

St. Paul's is the leading provider of caring senior services since 1960. We have locations throughout San Diego County including 5 in San Diego (Bankers Hill), 2 in Chula Vista, and 1 in El Cajon. St. Paul's strives to be the most outstanding and innovative senior home and service provider in California. We are dedicated to serving the physical, spiritual and social needs of the elderly and community, fostering a culture of diversity and inclusion within the highest quality facilities, health care and programs consistent with affordable costs. 
 

YOU MUST BE ABLE TO CLEAR FINGERPRINTS THROUGH DOJ AND FBI IN ADDITION TO A DRUG SCREEN CLEARANCE.
 

To learn more about St. Paul's Senior Services, please visit 

St. Paul's Senior Services is an Equal Opportunity Employer


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