Broker Concierge Sales and Service Associate II

Job not on LinkedIn

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $41.2k - $66k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🤑 Sales

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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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

• Research and resolve complex pre- and post-enrollment issues for broker enrollees through first-call resolution or case management • Collaborate virtually with 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 vendors, third-party systems, health plan sites, portals, reference materials, and custom tools to identify information accuracy and root causes • Process aging broker/member request inventory through full resolution • Work with business owners to identify root causes and remove member service barriers • Use benefit coverage resources to accurately respond to inquiries • Log broker interactions in databases for tracking and analysis • Troubleshoot escalated member issues reported by brokers • Conduct follow-up calls for unresolved 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 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 • Associate degree preferred • Three (3) years of customer service, sales support, or related experience required • Commercial insurance sales experience preferred • Computer proficiency in a Windows environment • Typing speed of 35 words per minute (WPM) • Maintain regulatory knowledge for ODI, CMS, and CareSource requirements • Strong written and verbal communication skills • Professional phone etiquette and proper grammar • Ability to work in a fast-paced, constantly changing environment • Customer service experience • Self-management and time-management skills • Ability to work independently and within a team environment • Critical thinking, listening, decision-making, and problem-solving skills • Confidence and positivity • Sales skills to meet enrollment objectives • Professional telemarketing skills • Current, unrestricted State Insurance license in Accident and Health in the state of practice within assigned territory may be required, or ability to achieve license(s) within 30 days of hire required • For Federally-Facilitated Marketplace states, Health Insurance Marketplace certification and annual recertification are required

🏖️ Benefits

• Base compensation of $41,200.00–$66,000.00 • May qualify for a bonus tied to company and individual performance • Substantial and comprehensive total rewards package • Employee total well-being support