Customer Care Specialist I

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Address routine service inquiries from members/beneficiaries or providers, which include claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements when necessary.

• Ensure strict compliance with all HIPAA, State, and Federal regulations at all times.

• Investigate, follow up, and resolve all outstanding or pending issues promptly.

• Foster and enhance relationships with members or providers by delivering exceptional customer service.

• Maintain an up-to-date knowledge and understanding of all operational processes and procedures.

• Comply with departmental and corporate policies and procedures.

• Keep thorough and precise records of telephone and written communications.

• Serve as a mentor for new employees.

• Carry out additional job-related tasks as assigned.

⛳️ Requirements

• A High School Diploma or equivalent is mandatory.

• A preference for candidates with two (2) years of customer service experience.

• Experience in a call center environment is preferred.

• Strong critical thinking and active listening abilities.

• Proficient decision-making and problem-solving skills.

• Computer literacy with experience in a Windows environment.

• Typing speed of at least 35 words per minute (WPM).

• Excellent written and verbal communication skills.

• Professional telephone etiquette is essential.

• Correct use of grammar is required.

• Capability to thrive in a fast-paced work environment.

• Adaptability to a continuously evolving environment.

• Strong attention to detail.

• Ability to manage multiple tasks effectively.

• Capability to work autonomously as well as collaboratively within a team.

• Must adhere to a designated daily work schedule and demonstrate predictable and reliable attendance.

• Compliance with all HIPAA, State, and Federal regulations is necessary.

• Licensure and Certification: None required.

🏝️ Benefits

• Opportunity for bonuses based on both company and individual performance.

• Comprehensive total rewards package.

• Support for overall employee well-being.