Member Support Specialist I

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

Job summary

CareSource is seeking a Customer Care Specialist I to assist members/beneficiaries or providers with routine service inquiries. You will handle claims processing, benefit education, eligibility inquiries, and transportation arrangements when applicable.

The role requires a HS diploma, 2 years of customer service experience (call center preferred), and strong communication, typing speed, and multitasking abilities.

Qualifications

• Minimum high school diploma or equivalent required.
• Prior customer service experience, preferably in a call center.
• Proven ability to communicate clearly and work under pressure.

Responsibilities

• Resolve routine member/beneficiary or provider inquiries, including claims and eligibility where applicable.
• Ensure compliance with HIPAA and all state/federal requirements.
• Research, follow up, and close open issues to satisfy members/providers.
• Maintain accurate documentation of all telephone and written communications.
• Mentor new hires and support team knowledge sharing.
• Adhere to department policies and contribute to a fast-paced, collaborative environment.

Skills

Critical thinking

Active listening

Communication skills

Typing 35 WPM

Windows proficiency

Phone etiquette

Attention to detail

Multitasking

Education

High School Diploma or equivalent

2 years customer service experience

Call center experience preferred

Job description

CareSource is seeking a Customer Care Specialist I to assist members/beneficiaries or providers with routine service inquiries. You will handle claims processing, benefit education, eligibility inquiries, and transportation arrangements when applicable.

The role requires a HS diploma, 2 years of customer service experience (call center preferred), and strong communication, typing speed, and multitasking abilities.