Job Title: Customer Care Specialist I
Job Type: Remote
Compensation Range: $35,200.00 – $56,200.00
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
