Customer Care Specialist I - Must reside in Mississippi - R8545-2

Job Summary

The Customer Care Specialist I assists members or providers with routine service inquiries.

• Must reside within the state of Mississippi**
  
  

Training Hours: Monday-Friday 8a-4:30p CST

Post Training Hours: Shifts range between hours of Monday-Friday 8a-8p CST

Full time positions available

Starting pay $18hr

Essential Functions

• Resolve member or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements
• Ensure all HIPAA and State 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
  
  

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

$31,680.00 - $50,580.00 CareSource 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. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type

Hourly

Competencies

• Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
  
  

TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi.

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 inclusive environment that welcomes and supports individuals of all backgrounds.