Supervisor, Customer Service
On-site · Chapel Hill, North Carolina, United States
Job Summary
Supervisor, Customer Service manages daily performance and activities of the Customer/Provider Service call center representatives to ensure customer satisfaction and attainment of KPIs. Responsibilities include handling inbound calls from physicians, hospitals, and medical provider representatives; mentoring Team Leaders and SMEs; monitoring call center metrics, quality assurance scores, and productivity; supporting the Customer Service Manager with performance reports and training initiatives; staffing and scheduling to meet KPI targets; conducting quality monitoring and coaching sessions; providing support to representatives; managing special projects and resource allocation; collaborating with Network management, Account Managers, and Sales to gather feedback and improve service performance; conducting impact analyses of operational changes; participating in initiatives to improve customer satisfaction and business performance; and supporting other departments as directed by management. Essential qualifications include experience in a high-volume call center, claims inquiry/review procedures, medical terminology knowledge, HIPAA confidentiality, a Bachelor’s degree preferred but not required, HS diploma or GED, experience managing teams, proficiency with ACD systems and healthcare IT tools, QA experience, and multi-channel capabilities. The posting also notes the organization and mission of Brighton Health Plan Solutions and issues a caution about job-alert fraud. The role requires a supervisor who can lead, coach, and optimize call center operations in a healthcare context.
Required Qualifications
- Bachelor’s degree preferred, but not required
- HS diploma or GED required
- Experience in a high volume call center
- Experience with claims inquiry and claims review procedures
- Knowledge of medical terminology, medical specialties and HIPAA confidentiality laws
- Proficiency with healthcare transactions systems, CRMs, QA tools
- Experience managing teams in a customer call center
- Ability to analyze call center volume and staffing
- Knowledge of CPT codes, ICD-9; managed care procedures, claims payment policies
- Multi-channel experience (voice, email, and chat) a plus
- Strong customer service orientation
- Excellent communication and coaching skills
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