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 employees
The 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 helpful
What’s in it for me?
- 401(k) retirement plans with company-matching contributions
- Educational reimbursement
- Multiple health, dental (including orthodontia) and vision insurance options
- Paid maternity and parental leave for maternal, paternal and adoptive parents
- Domestic partner benefits
- Liberal paid personal time off, starting at four weeks per year
- Nine paid holidays and a floating holiday
- Paid volunteer/service hours
- Equity Council
- Employee Resource and Special Interest GroupsJob Summary:
- 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 requested
- High School Diploma or equivalent is required
- Two (2) years customer service experience is preferred
- Customer Service experience in a call center 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
- 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
- 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, including disability and veteran status. We are committed to a diverse and inclusive work environment.