Customer Care Specialist I (Need to live in Florida)

Job Summary:

CareSource is a healthcare company that's growing rapidly with a lot of exciting things on the horizon.  In Florida, ImagineCare was formed by Spark Pediatrics and CareSource to provide differentiating care and service to Florida SMMC Medicaid members and their providers. CareSource is looking for highly skilled professionals to transform the lives of ImagineCare enrollees through innovative health and life services.

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

*Must reside within the state of Florida**

Work from home/remote (may live anywhere in Florida)

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

Post Training Hours: Monday-Friday 8a-8p EST

Part time and 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:

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/salary):

Organization Level Competencies

• Create an Inclusive Environment

• 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, including disability and veteran status. We are committed to a diverse and inclusive work environment.