Healthcare Member Services Specialist

CareSource Management Services; New York (NY); Presencial; USD 41 000 - 66 000; Tempo integral

Resumo da oferta

CareSource is seeking a Member Services Representative to handle incoming calls on our 1-800 numbers and resolve issues on first contact. You will assist members with provider search, appointments, and plan benefits while documenting interactions in CaseTrakker.

Ideal candidates will have strong customer service skills, excellent communication, and experience in fast-paced healthcare environments. This on-site role offers a comprehensive rewards package and opportunities to grow within the

Qualificações

• High School or GED required.
• Associates or Bachelor's degree preferred.
• One (1) year previous Call Center experience preferred.
• Previous experience working in a healthcare setting preferred.

Responsabilidades

• Answer and handle phone calls and warm transfer only as needed.
• Assist members with finding providers and setting up appointments.
• Demonstrate knowledge of eligibility and benefits for all plans.
• Provide information to callers about our Plans.
• Write notes for all incoming calls in CaseTrakker.
• Document care management notes captured during member call and works closely with care management team to support member needs.
• Completes grievance and incident reports.
• Assist members with calling DME vendors, pharmacy, doctors and other providers as needed to coordinate services.
• Perform any other job related duties as requested.

Conhecimentos

Customer service

Communication

Languages

Phone support

Formação académica

High school diploma

Associate/Bachelor degree preferred

Ferramentas

CaseTrakker

Descrição da oferta de emprego

CareSource is seeking a Member Services Representative to handle incoming calls on our 1-800 numbers and resolve issues on first contact. You will assist members with provider search, appointments, and plan benefits while documenting interactions in CaseTrakker.

Ideal candidates will have strong customer service skills, excellent communication, and experience in fast-paced healthcare environments. This on-site role offers a comprehensive rewards package and opportunities to grow within the