Customer Care Specialist I (Contractors) - R12086-2

Job Summary

About the role

The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries. Examples include claims processing, member benefit education, contracting and credentialing requests, and when applicable, eligibility inquiries, and transportation arrangements.

Responsibilities

• Resolve member/beneficiaries or provider routine service inquiries
• 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

Requirements

• A high school diploma or equivalent is required
• Two (2) years customer service experience is preferred
• Customer Service experience in a call center is preferred

Qualifications

• 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
• Strong attention to detail
• Ability to multitask
• Ability to work independently and with a team

Skills

• None

Benefits

• Compensation Range: $35,900.00 - $57,300.00
• Company and individual performance bonuses
• Total rewards package including health benefits, retirement plans, and paid time off

Pay

• $35,900.00 - $57,300.00

Schedule

• 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