Job Summary:

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

 

Essential Functions:

Resolve member/beneficiaries or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, and when applicable, eligibility inquiries, and transportation arrangements

Ensure all HIPAA, State and/or Federal 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

 

Licensure and Certification:

None

 

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:

$32,310.00 - $51,570.00 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

Competencies:

- Fostering a Collaborative Workplace Culture

- 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 environment of belonging that welcomes and supports individuals of all backgrounds.

#LI-KM1

 

CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law.