Customer Care Specialist I (Must live in… at CareSource · Ohio State

Summary: CareSource is a healthcare company that is seeking a Customer Care Specialist I. This role assists members and providers with routine service inquiries and focuses on delivering quality customer service while adhering to all regulatory requirements.

Responsibilities:
- 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

Required Qualifications:
- High School Diploma or equivalent is required
- 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
- Must adhere to an assigned daily work schedule and have predictable and reliable attendance
- Must live in Ohio

Preferred Qualifications:
- Two (2) years customer service experience is preferred
- Customer Service experience in a call center is preferred

Required Skills: Claims processing, Member benefit education, Contracting and credentialing, Eligibility inquiries, Transportation arrangements, HIPAA compliance, Windows environment, Typing speed 35 WPM, Professional phone etiquette, Grammar

Benefits: Bonus tied to company and individual performance, Substantial and comprehensive total rewards package