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Customer Care Specialist I
CareSource
remoteUSD 35,900 - 57,300 / year
Ohio WFH
About this role
Customer Care Specialist I (Must live in Ohio)
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
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