Escalation Response Specialist

Job Summary

A company is looking for an Escalation Response Specialist II to assist with responding to complaints and escalations from members and providers.

Key Responsibilities

• Provide timely resolutions to escalated issues from various communication channels
• Serve as a liaison to maintain relationships between departments for issue resolution
• Support documentation, tracking, and resolution of assigned complaints and inquiries

Required Qualifications

• High School diploma or GED required
• 1 - 2 years of related experience preferred
• Vocational or technical education may be required in addition to work experience
• Customer service escalations or resolution experience in healthcare is highly preferred
• Knowledge of Medicare rules and guidelines is preferred