Customer Care Specialist I – Healthcare, Medicare Experience

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $35.9k - $57.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

🦅 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

• Resolve routine member, beneficiary, or provider service inquiries, including claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements when applicable • Ensure compliance with HIPAA and state and federal requirements and regulations • Research, follow up on, and resolve open or pending issues in a timely manner • Build and strengthen member or provider relationships through quality customer service • Maintain knowledge of processes and procedures • Adhere to departmental and company policies and procedures • Maintain complete and accurate documentation of telephone and written communications • Mentor new hire employees • Perform other job-related instructions as requested

🎯 Requirements

• Must live in Ohio • 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 • 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 • Must adhere to an assigned daily work schedule and have predictable and reliable attendance • No licensure or certification required

🏖️ Benefits

• Potential bonus tied to company and individual performance • Substantial and comprehensive total rewards package • Employee total well-being support