Job Description
Job Summary:
The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries.
Essential Functions:
Resolve member 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:
Military affiliation or experience with TRICARE is preferred
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:
$35,200.00 - $56,200.00 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:
- Create an Inclusive Environment
- 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 inclusive environment that welcomes and supports individuals of all backgrounds.
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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.
