Contact Center Quality Analyst jobs in Maine

Contact Center Quality Analyst monitors and evaluates inbound and outbound interaction quality. Tracks issues in the quality monitoring systems or tools and analyzes the results. Being a Contact Center Quality Analyst provides feedback to improve performance and develops training programs. Works with other internal teams to define quality metrics. Additionally, Contact Center Quality Analyst typically requires a bachelor's degree. Typically reports to a manager. The Contact Center Quality Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Contact Center Quality Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Patient Service Contact Center Rep
  • Central Maine Medical Center
  • Lewiston, ME FULL_TIME
  • At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.

    Essential Duties

    Patient Scheduling (Hospital Based and Professional Services)

    The Responsibilities Include But Are Not Limited To, Accurate Coordination And Appropriate Issuance Of Appointments For Hospital-based Departments And Provider Services. In This Role, The Individual Will Have Contact With Patients Via Phone, Hospital Departments, Practice Areas, And External Clinical Service Providers. Scheduling Tasks Include:

    • Secure and complete inbound scheduling requests
    • Review clinical orders to support service requests
    • Initiate outbound calls to complete scheduling requests
    • Communicates pre-procedure preps
    • Secure and validate required demographic and insurance information
    • Verify insurance information and coverage
    • Initiate medical necessity checks as required
    • Complete pre-registration activities
    • Perform patient estimates as required
    • Advise and secure patient payments prior to service
    • Refer patients to financial counselors
    • Provide exceptional customer service
    • Complete Dept/Org education requirements
    • Ensure accurate data collection and documentation
    • Meets performance standards as determined by Department

    Financial Clearance (Pre-Registration, Referral/Authorization/Verification/Estimation

    The Responsibilities Include But Are Not Limited To Financially Securing An Account Prior To Service Delivery. In This Role, The Individual Will Have Contact With Patients Via Phone, Hospital Departments, Practice Areas, Insurance Companies, Medical Review Management Organizations, And External Clinical Service Providers. Financial Clearance Tasks Include:

    • Secure and complete pre-registration activities
    • Secure and validate required demographic and insurance information
    • Verify insurance information and coverage
    • Secure clinical information to support authorization and referral requirements
    • Securing and obtaining appropriate prior authorizations and referrals
    • Perform patient estimates as required
    • Advise and secure patient payments prior to service
    • Refer patients to financial counselors
    • Initiate medical necessity checks as required
    • Initiate and obtain Notice of Admissions to insurance payers
    • Identify, communicate, and resolve findings that do not meet financial clearance guidelines
    • Provide exceptional customer service
    • Complete Dept/Org education requirements
    • Ensure accurate data collection and documentation
    • Meets performance standards as determined by Department

    Education and Experience

    • High school graduate or equivalent
    • Minimum 1-2 years of relevant experience preferably in one of the following: scheduling, pre-registration or financial clearance, preferred
    • Knowledge of medical terminology preferred
    • Understanding of insurance reimbursement basics

    Knowledge, Skills And Abilities:

    • Strong customer focus
    • Above average verbal communication skills
    • Above average written communication skills
    • Ability to multitask and prioritize work assignments
    • Good time management skills
    • Analytical Thinking
    • Good problem-solving capabilities
    • Attention to detail
    • Ability/proficiency to use multiple systems and software applications
    • Ability to ask and secure payments from patients
    • Ability to work across and within Hospital Departments
    • Ability to work with external partners/customers/insurance carriers/clinical mgmt organization
    • Knowledge of insurance reimbursement basics
    • Basic understanding of Revenue Cycle

    Ability to engage patients and team members utilizing the CMH Experience Standards

    • I am creating a warming, caring, and non-judgmental environment.
    • I am actively listening and seeking information.
    • I am honest, truthful, and consistent.
    • I am respectful, treating all individuals with dignity and empathy.
    • I am serving as a role model, taking both initiative and ownership when appropriate.
    • I am working collaboratively and demonstrating teamwork.
    • I am resilient and adapt to change in positive ways.

    If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!
  • Just Posted

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Contact Center Supervisor
  • Superior Plus Propane Talent Acquisition
  • Maine, ME FULL_TIME
  • We are looking for a skilled Call Center Supervisor to manage daily operations and personnel aiming for maximum efficiency and cost-effectiveness. You will also ensure that technology is utilized to a...
  • 1 Day Ago

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Contact Center Representative I
  • Atlantic Federal Credit Union
  • Brunswick, ME FULL_TIME
  • Are you the Representative we're searching for? Someone who is committed to making a difference in our members’ lives. At Atlantic, we're convinced that extraordinary people are the heartbeat of the c...
  • 5 Days Ago

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Contact Center Representative II
  • Atlantic Federal Credit Union
  • Brunswick, ME FULL_TIME
  • DescriptionAre you the Representative we're searching for? Someone who is committed to making a difference in our members’ lives. At Atlantic, we're convinced that extraordinary people are the heartbe...
  • 1 Month Ago

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Patient Service Contact Center Rep 1
  • Central Maine Medical Center
  • Lewiston, ME FULL_TIME
  • At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.Essential DutiesPatient Scheduling (Hospital Bas...
  • 3 Days Ago

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Quality Operations Analyst I
  • Northern Light Health
  • Brewer, ME FULL_TIME
  • Northern Light Health Department: Quality Perf. Improvement Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary : T...
  • 1 Month Ago

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Board Certified Behavior Analysis School 2024-2025 SY
  • Epic Special Education Staffing
  • Lake Stevens, WA
  • ABOUT US Together, we are the Epic Special Education Staffing family and family is how we view each member of this incre...
  • 9/3/2024 12:00:00 AM

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Board Certified Behavior Analyst School 2024-2025 SY
  • Epic Special Education Staffing
  • Berwyn, IL
  • ABOUT US Together, we are the Epic Special Education Staffing family and family is how we view each member of this incre...
  • 8/21/2024 12:00:00 AM

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Behavior Analyst Assistant in Arizona (Mesa, Glendale, Phoenix areas)
  • American Behavioral Solutions
  • Phoenix, AZ
  • Job Description American Behavioral Solutions is searching for passionate, highly motivated and organized individuals to...
  • 6/10/2024 12:00:00 AM

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Technical Lead
  • TekJobs
  • Alpharetta, GA
  • Required Skills: Tier2 Support. Focus on Outage and Incident tickets passed from T1- team 12*5 and 24*7 on Call. Analyst...
  • 6/8/2024 12:00:00 AM

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Call Center Analyst 1
  • Iron Bow Technologies
  • Manassas, VA
  • Iron Bow Technologies is for people who believe trust is paramount, transformation is embraced, and the future is here, ...
  • 6/8/2024 12:00:00 AM

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Call Center Analyst, Work Force Management *Remote*
  • Providence St. Joseph Health
  • Renton, WA
  • Description Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in ou...
  • 6/6/2024 12:00:00 AM

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Bilingual Call Center Analyst
  • Clark Creative Solutions
  • Silver Spring, MD
  • Job Description Job Description We are seeking a highly motivated and customer-oriented Bilingual Call Center Representa...
  • 6/6/2024 12:00:00 AM

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Call Center Analyst & Scheduling Specialist
  • Metlife Legal Plans
  • Cleveland, OH
  • Job Description Job Description MetLife Legal Plans is currently hiring a Client Service Center Analyst & Scheduling Spe...
  • 6/6/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Contact Center Quality Analyst jobs
$43,483 to $60,282