Broker Concierge Sales and Service Associate II

🔥 12 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $41.2k - $66k / year

⏰ Full Time

🟡 Mid-level

🤑 Sales

🦅 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 • 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

🎯 Requirements

• 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

🏖️ Benefits

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