Broker Concierge Sales and Service Associate II

🔥 1 hour ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $41.2k - $66k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🤑 Sales

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 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 through final resolution • Research and resolve broker enrollee issues, focusing on first-call resolution or ongoing case management • Collaborate virtually with various departments to resolve member-related issues and broker escalations • Complete broker-related research, fulfillment, and inquiry requests efficiently and promptly • 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 inventory of broker/member requests to full resolution • Identify root causes and resolve barriers experienced by members with other business owners • Use benefit coverage resources, tools, and materials to respond accurately to inquiries • Log broker interactions in appropriate databases for tracking and analysis • Troubleshoot escalated member-related issues reported by brokers • Conduct follow-up calls for dental, pharmacy, and other benefit inquiries, including pharmacy overrides and rejections • Assist prospective members with selecting and enrolling in CareSource exchange health plans • Educate members on benefits, services, premiums, co-pays, 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

🎯 Requirements

• High School or GED required • Three (3) years of customer service, sales support or other related experience required • 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 preferred • Certification from the Health Insurance Marketplace and annual recertification each year thereafter preferred for Federally-Facilitated Marketplace states

🏖️ Benefits

• Bonus tied to company and individual performance • Comprehensive total rewards package • Employee well-being support