Resolution Specialist

Gifthealth•Columbus, OH

10d•Hybrid

About The Position

As the Resolution Specialist at Gifthealth, you will oversee the resolution of complex patient issues, ensuring timely and effective responses. This role requires close collaboration with cross-functional teams to enhance the patient experience and drive continuous improvement in our support processes.

Requirements

Bachelor's degree in Healthcare Administration, Business, or related field.
Minimum of 3 years in a patient support or customer service role, with at least 1 year in a supervisory capacity.
Strong problem-solving skills and the ability to handle high-stress situations calmly.
Excellent communication and interpersonal skills.
Proficiency in customer service software (e.g., Zendesk) and Microsoft Office Suite.
Must be able to remain seated and work at a computer for extended periods (up to 8 hours).
Must be able to type and perform repetitive hand/wrist motions throughout the shift.
Must be able to use a headset for phone-based communication for the majority of the workday.
Must be able to navigate multiple computer systems and applications simultaneously.
Must maintain focus and attention to detail while managing a high volume of calls or tasks.
Must be able to communicate clearly and professionally via phone, chat, and email.
Must be able to work onsite/remote (customize) for all scheduled shifts, including potential weekends or evenings depending on business needs.
Must be able to handle occasional escalated or emotionally charged interactions with composure.
Must be able to meet productivity and quality standards consistently.
Pharmacy Technician Trainee license will be required prior to starting with Gifthealth. Gifthealth will assist in this process.

Nice To Haves

Knowledge of pharmacy operations and healthcare regulations is a plus.
Bilingual candidates will be given priority.

Responsibilities

Escalation Management:
Serve as the primary point of contact for high-priority patient concerns.
Coordinate with internal teams to resolve issues promptly.
Develop and implement protocols for handling escalations efficiently.
Team Leadership:
Mentor and support Patient Care Representatives in managing challenging cases.
Provide training on best practices for issue resolution and customer service.
Monitor team performance and provide feedback for continuous improvement.
Process Improvement:
Analyze escalation trends to identify areas for operational enhancements.
Collaborate with stakeholders to implement solutions that reduce recurrence of issues.
Maintain documentation of processes and updates for transparency and training purposes.
Compliance and Reporting:
Ensure all patient interactions comply with HIPAA and other regulatory standards.
Generate reports on escalation metrics and outcomes for leadership review.
Participate in audits and quality assurance activities as needed