Member & Provider Care Specialist I

CareSource; United States; Remote; USD 36,000 - 57,000; 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

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.