American Medical Response Representative Complaint II In in Greenwood Village, Colorado
REPRESENTATIVE COMPLAINT II IN GREENWOOD VILLAGE, CORequisition ID 2019-6104 Location US-CO-Greenwood VillageEmployment Type Regular Full-Time MORE INFORMATION ABOUT THIS JOB Position Summary: Directly investigate and coordinate communications on escalated customercomplaints. Resolve all complaints within established time frames whileensuring strict adherence to corporate compliance and federal HIPAAregulations. Direct engagement in the coordination of internal policy review andresponse of customer audits. Essential Duties and Responsibilities: * Manage, coordinate and communicate with health plans and internaldepartments regarding escalated complaints. * Contact clients in a timely and professional manner to deliver contractrequired information. * Review and complete annual health plan audits with strict deadlines. * Analyze and review policies for application towards internalcorrespondence and annual audits. * Maintain working relationships with internal departments as well asexternal client contacts using a high level of both written and oralcommunication. * Meet deadlines, working within tight time constraints. * Correspond with management staff regarding customer service complaintsincluding the gathering of data for problem resolution. * Monitor and track via excel and/or other computer software tools thetype and quantity of escalated complaints. * Gather information necessary to respond to escalating complaintsand/or grievances that extend beyond normal channels: complaints onappeal, legislative inquires and issues that meet the organization ssignificant event policy. * Produce internal reports on complaints and participant in monthlyQuality Assurance meetings. * Adhere to all company policies and procedures. Non-Essential Duties and Responsibilities: * Perform other duties as assigned. * Seek opportunities to improve work environment. * Be flexible with shifting daily priorities. * Manage own time and work assignments effectively. * Meet or exceed established standards of productivity and quality. Minimum Qualifications: Education/Licensing/Certification: * High School Diploma or GED required. * Associates or Bachelor Degree preferred. Experience * Lead or Quality Assurance experience preferred. * Healthcare experience preferred. * Ability to deal with complex problems involving a broad scope of issueswhile under pressure. * Ability to effectively solve customer complaints in a timely manner byutilizing all tools available. Other i.e. knowledge and skills: * Must be proficient with Microsoft Office applications. * Must type 40 wpm. * Must have effective oral, written and interpersonal communicationskills. * Convey thoughts in a well-organized, concise manner. Use appropriategrammar and punctuation in written documents. EEO STATEMENT EOE including Veterans and DisabledOPTIONSEmployer's Job# 2019-6104Please visit job URL for more information about this opening and to view EOEstatement.