Customer Care Specialist I (Must live in Ohio)

CareSource; Indiana (PA); Remote; USD 35,000 - 57,000; Full time

Job summary

CareSource is seeking a Customer Care Specialist I to assist members and providers with routine service inquiries. This position involves resolving inquiries related to claims processing, member benefits, and documentation maintenance. Ideal candidates will have a high school diploma and preferred experience in customer service, especially in a call center environment. Join CareSource to make a difference by delivering exceptional customer service in a fast-paced work environment.

Benefits

Comprehensive total rewards package

Bonus tied to performance

Qualifications

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

Responsibilities

• Assist members or providers with routine service inquiries.
• Resolve member or provider routine service inquiries.
• Ensure all HIPAA and State requirements are adhered to.

Skills

Critical thinking

Decision making

Problem-solving

Computer proficiency

Written communication

Professional phone etiquette

Attention to detail

Ability to multitask

Education

High School Diploma or equivalent

Job description

Customer Care Specialist I (Must live in Ohio) page is loaded

Customer Care Specialist I (Must live in Ohio)

Apply locations Ohio WFH time type Full time posted on Posted 30+ Days Ago job requisition id R8804

Job Summary:

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

Essential Functions:

• Resolve member or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements
• Ensure all HIPAA and State 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

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:

$35,200.00 - $56,200.00

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

• Create an Inclusive Environment

• 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 inclusive environment that welcomes and supports individuals of all backgrounds.

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About Us

The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers.

We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day.

The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.