Customer Care Specialist I (Contractors)

CareSource; United States; Remote; USD 49,456,000 - 78,936,000; Full time

Job summary

CareSource in the United States is seeking a Customer Care Specialist I to assist members, beneficiaries, or providers with routine service inquiries and requests.

The role emphasizes HIPAA compliance, accurate documentation, and teamwork in a fast-paced environment, with additional opportunities to mentor new staff and grow within the organization. The compensation ranges from $35,900 to $57,300 per year, billed hourly, and rewards strong communication, problem solving, and attention to detail.

Qualifications

• High School Diploma or equivalent is required.
• Two (2) years customer service experience is preferred.
• Customer Service experience in a call center is preferred.

Responsibilities

• Resolve routine member/provider inquiries including claims and eligibility.
• Ensure HIPAA/regulatory compliance in all interactions.
• Research and resolve open issues to ensure satisfaction.
• Maintain documentation of communications.
• Mentor new hires.
• Adhere to policies and procedures.
• Build relationships through quality service.
• Work with team to support members and providers.

Skills

Critical thinking

Problem solving

Windows proficiency

Typing 35 WPM

Communication skills

Multitasking

Teamwork

Education

High School Diploma or equivalent

Job description

Job Summary

The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries.

Essential Functions

• Resolve member/beneficiaries or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, and when applicable, eligibility inquiries, and transportation arrangements
• Ensure all HIPAA, State and/or Federal requirements/regulations are always adhered to
• Research, follow up, and resolve all open/pending issues in a timely manner to ensure member or provider satisfaction
• Build and strengthen member or provider relationships by providing quality customer service.
• Maintain knowledge and understanding of all processes and procedures
• Adhere to all departmental and company policies and procedures
• Maintain complete and accurate documentation of all of telephone and written communications
• Act as a mentor to new hire employees
• Perform any other job related instructions, as requested

Education and Experience

• High School Diploma or equivalent is required
• Two (2) years customer service experience is preferred
• Customer Service experience in a call center is preferred

Competencies, Knowledge and Skills

• Critical thinking and listening skills
• Decision making and problem-solving skills
• Computer proficiency with knowledge and experience in a Windows environment
• Typing speed of 35 words per minute (WPM)
• Strong written and communication skills
• Works well under pressure
• Professional phone etiquette
• Proper use of grammar
• Ability to work in a fast-paced environment
• Adaptable to a constantly changing environment
• Attention to detail
• Ability to multitask
• Ability to work independently and with a team

Licensure and Certification

• None

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time
• Must adhere to an assigned daily work schedule and have predictable and reliable attendance

Compensation Range

$35,900.00 - $57,300.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary)

Hourly

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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Brand=CareSource