Member Care Specialist I - Fast, Trusted Support

CareSource; Kentucky; Hybrid; USD 50,000 - 79,000; Full time

Job summary

CareSource is seeking a Customer Care Specialist I to assist members, beneficiaries, or providers with routine service inquiries in a fast-paced call center environment.

This role emphasizes HIPAA compliance, accurate documentation, and teamwork. Responsibilities include resolving inquiries (claims processing, benefit education, contracts/credentialing), maintaining quality service, and mentoring new hires as needed. Strong communication and problem-solving are essential.

Qualifications

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

Responsibilities

• Resolve member/beneficiary or provider routine service inquiries.
• Examples include claims processing, benefit education, contracting and credentialing requests, and eligibility inquiries and transportation arrangements.
• Ensure HIPAA, State and/or Federal requirements/regulations are adhered to.

Skills

Customer service

Communication

Typing 35 WPM

Computer proficiency

Problem-solving

Teamwork

Education

High School Diploma or equivalent

Tools

Windows

Job description

CareSource is seeking a Customer Care Specialist I to assist members, beneficiaries, or providers with routine service inquiries in a fast-paced call center environment.

This role emphasizes HIPAA compliance, accurate documentation, and teamwork. Responsibilities include resolving inquiries (claims processing, benefit education, contracts/credentialing), maintaining quality service, and mentoring new hires as needed. Strong communication and problem-solving are essential.