Customer Care Specialist I (Healthcare/Medicare Experience, must live in Ohio)
工作总结：客户服务专家我协助成员/受益者或提供商进行日常服务查询。基本功能：·解决会员/受益人或供应商的常规服务查询；例如，申请处理，成员福利教育，合同和凭证请求以及适用的情况下，资格查询和运输安排 ·确保所有 HIPAA,州和/或联邦要求/法规始终遵守 ·及时研究，追踪和解决所有开放/悬而未决的问题以确保会员或提供商满意度 ·通过提供客户服务建立和加强优质的会员或供应国关系。· 保持所有流程和程序的知识和理解 ·遵守部门和公司的所有政策和程序 · 维护电话和书面通讯的完整和准确文件 · 作为新雇员的导师 · 按照要求执行任何其他与工作相关指令 教育和经验：· 高中文凭或相等水平是必需的 · 优先获得两 (2) 年客户服务经验 · 在呼叫中心提供客户服务的经验 · 计算机能力，在 Windows 环境中具有知识和经验 · 每分钟35字的键入速度 (WPM) · 强大的写作和沟通技能 · 在压力下工作良好 · 专业电话礼仪 · 正确使用语法 · 适应不断变化的环境 · 适合不断变化的環境 · 注意细节 · 多任务的能力 · 自主与团队一起工作的能力 · 许可证和认证：· 没有工作条件：· 一般办公室环境；可能需要长时间坐或站立 ·必须遵守分配的日常工作日程并具备可预测且可靠的出席率补偿范围：根据 CareSource 的规定，在确定工资水平时，需要考虑一个候选人的教育，培训和经验以及职位范围和复杂性，职位所需的自由裁量和宽度和其他外部和内部数据。除了基本薪酬外，你可能有资格获得与公司和个人绩效相关的奖励。我们高度投资于每项工作计划。
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Job Summary:
The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries.
Essential Functions:
- Resolve member/beneficiaries or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, and when applicable, eligibility inquiries, and transportation arrangements
- Ensure all HIPAA, State and/or Federal requirements/regulations are always adhered to
- Research, follow up, and resolve all open/pending issues in a timely manner to ensure member or provider satisfaction
- Build and strengthen member or provider relationships by providing quality customer service.
- Maintain knowledge and understanding of all processes and procedures
- Adhere to all departmental and company policies and procedures
- Maintain complete and accurate documentation of all of telephone and written communications
- Act as a mentor to new hire employees
- Perform any other job related instructions, as requested
Education and Experience:
- High School Diploma or equivalent is required
- Two (2) years customer service experience is preferred
- Customer Service experience in a call center is preferred
Competencies, Knowledge and Skills:
- 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
- Works well under pressure
- 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
Licensure and Certification:
· None
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- Must adhere to an assigned daily work schedule and have predictable and reliable attendance
Compensation Range:
$35,900.00 - $57,300.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
HourlyOrganization Level Competencies
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
Brand=CareSourceOriginally posted on Himalayas