Broker Concierge Sales and Service Associate II

🕒 il y a 5 jours

🏈 Ohio – Distant

infoinfo

💵 $41 200 - $66 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🤑 Commercial

🗣️🇺🇸🇬🇧 Anglais requis

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CareSource

1001 - 5000 employés

Fondée en 30+ years

🏥 Santé

🛡️ Assurance

⚕️ Assurance santé

Healthcare • Insurance • Healthcare Insurance

CareSource est une entreprise de services de santé axée sur la fourniture d'assurances santé abordables et de solutions de soins de santé. Elle propose une large gamme de plans incluant Medicaid, le Marketplace et Medicare Advantage, visant les adultes à faible revenu, les familles, les enfants, les femmes enceintes, les personnes âgées et les personnes handicapées. De plus, CareSource fournit à ses membres des ressources pour le soutien COVID-19, des avantages dentaires, visuels et auditifs, ainsi que des services de pharmacie. L'entreprise met l'accent sur l'accès facile à la gestion des soins de santé via des plateformes en ligne et une application mobile.

Description

• Serve as a dedicated operational advocate for CareSource's highest performing brokers, agencies and FMOs • Provide high-touch, personalized support for complex pre- and post-enrollment issues • Research and resolve member onboarding, provider and network, benefit and eligibility, billing, and service escalation issues • Manage cases through final resolution, focusing on first-call resolution • Collaborate virtually with various departments to resolve member issues and broker escalations • Complete broker-related research, fulfillment, and inquiry requests • Access and extract data from primary and secondary sources in various formats • Research ancillary vendors, third-party systems, health plan sites, portals, internal reference materials, and custom tools • Process aging broker/member request inventory through full resolution • Identify root causes and resolve barriers experienced by members • Use benefit coverage resources and materials to respond accurately to inquiries • Log broker interactions in appropriate databases for tracking and analysis • Troubleshoot escalated member issues reported by brokers • Conduct follow-up calls for dental, pharmacy, and other benefit inquiries • Process pharmacy overrides and rejections • Assist prospective members with selecting and enrolling in CareSource exchange health plans • Educate members about benefits, services, premiums, copays, and coinsurance • Answer Healthcare Exchange inquiries and assist with enrollment applications • Serve as a subject matter expert on CareSource exchange healthcare plans and product lines • Perform other related duties as requested

🎯 Exigences

• High School or GED required • Three (3) years of customer service, sales support or other related experience required • Commercial insurance sales experience preferred • Computer proficiency with knowledge and experience in a Windows environment • Typing speed of 35 words per minute (WPM) • Maintain regulatory knowledge for compliance to ODI, CMS, and CareSource requirements • Strong written and verbal communication skills • Professional phone etiquette • Proper use of grammar • Ability to work in a fast paced environment • Adaptable to a constantly changing environment • Customer service experience • Solid self-management and time management skills • Ability to work effectively independently and within a team environment • Critical thinking and listening skills • Decision making and problem solving skills • Sales skills to meet enrollment objectives • Professional telemarketing skills • Current, unrestricted State Insurance license in Accident and Health in state of practice within state(s) of assigned territory may be required, or ability to achieve license(s) within 30 days of hire • Health Insurance Marketplace certification and annual recertification preferred for Federally-Facilitated Marketplace states

🏖️ Avantages

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Employee well-being support • Remote work arrangement

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