Customer Care Specialist I - Indiana -

Company: CareSource
Location: Dayton
Posted on: April 17, 2024

Job Description:

*Must reside within the state of Indiana**Work from home/remote (may live anywhere in Indiana)Training Hours: Monday-Friday 8a-4:30p ESTPost Training Hours: Monday-Friday 8a-8p ESTPart time and Full time positions availableStarting pay $18hrAt CareSource, our Customer Care Specialists are our primary telephonic connection with our members and providers. We are looking for inclusive,caring, innovative, and engaging team members to help spread the CareSource mission. As a Customer Care Specialist, you will partner with our members and providers, resolving barriers to improving their health and well-being. Our Specialists are empowered to be creative in problem solving and are backed by strong support services, caring leadership, and an organization that values employee growth and success.What you will do in your role:* Resolve member or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements * Ensure all HIPAA and State 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 complete and accurate documentation of all of telephone and written communications* Act as a mentor to new hire employeesThe experience you will bring:* High School Diploma or equivalent is required* Two (2) years customer service experience* Customer Service experience in a call center is helpfulWhat's in it for me?Your future:* 401(k) retirement plans with company-matching contributions* Educational reimbursementYour health:* Multiple health, dental (including orthodontia) and vision insurance options* Paid maternity and parental leave for maternal, paternal and adoptive parents* Domestic partner benefitsYour balance:* Liberal paid personal time off, starting at four weeks per year* Nine paid holidays and a floating holiday* Paid volunteer/service hoursYour community:* Equity Council* Employee Resource and Special Interest GroupsJob Summary:(The Formal Job Description is below:)The Customer Care Specialist I assists members 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, eligibility inquiries, and transportation arrangements
• Ensure all HIPAA and State 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 requestedEducation 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 preferredCompetencies, 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 teamWorking 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 attendanceCompensation Range:
        $34,500.00 - $55,100.00 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. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.Compensation Type:
        HourlyCompetencies:
        

Keywords: CareSource, Dayton , Customer Care Specialist I - Indiana -, Other , Dayton, Ohio