Customer Care Specialist I (Healthcare/Medicare Experience, must live in Ohio)

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 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 $35,900.00 - $57,300.00 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/salary) Hourly Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business Equal Opportunity Employer 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 Brand=CareSource CareSource Mission The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer‑centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource. #J-18808-Ljbffr