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Akron Children's - Physician Recruitment
Lisbon, Ohio
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Provider Service Customer Advocate 3 - Escalations
JOB SUMMARYThe Customer Advocate 3 communicates to Members and Providers the policies, procedures and services of the Health Plan (Plan), and handles any complaints concerning the Plan. This position works on behalf of Members to resolve any issues and concerns or participate in appeal hearings. This position will also assist management by servicing as a team leader and/or subject matter expert, providing training and assistance to staff.ESSENTIAL FUNCTIONS OF THE ROLECommunicates to Members and Providers policies, procedures and services of the Plan to ensure complete understanding of the Plan. Adheres to established call handling goals and call abandonment rate policies. Maintains an average score of ninety-two percent (92%) or above for monthl
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