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Life Services Member Engagement Specialist I

Role overview

Qualifications

  • High School Diploma or GED required
  • Minimum of two (2) years of experience in administrative support or customer service required
  • Proficient with Microsoft Office, including Outlook, Word, Excel, and PowerPoint
  • Strong written and verbal communication skills

Responsibilities

  • Act as first point of contact for new Life Services/JobConnect members and direct them through the intake process
  • Answer and route incoming telephone calls to the proper personnel
  • Create and maintain new member files
  • Build and strengthen member relationships by providing quality customer service

Key facts

Hard skills

Other skills

  • Microsoft Office
  • Customer Service
  • Communication
  • Teamwork
  • Time Management
  • Problem Solving
  • Social Skills
  • Active Listening
  • Critical Thinking

About the company

CareSource logo

CareSource

Health Insurance (Payers)

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码。

Company details

Company typeLarge
IndustryHealth Insurance (Payers)
Company size1001 - 5000

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Job description

Job Summary:

Life Services Member Engagement Specialist I is responsible to act as first point of contact for new Life Services members and direct them through the Intake Process. 

Essential Functions:

  • Act as first point of contact for new Life Services/JobConnect members, and direct them through the intake process 
  • Starts each intervention with members wondering, “What does the world look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee will aspire to help the member to feel informed, empowered, and supported by CareSource
  • Answer and route incoming telephone calls to proper personnel or initiate intake process for first-time callers; verify and complete intake process for each new member
  • Create and maintain new member files
  • Provide timely and accurate documentation
  • Actively participate in team meetings maintain basic knowledge of department activities
  • Maintain basic knowledge of department activities
  • Build and strengthen member relationships by providing quality customer service
  • Maintain communication with new members after Life Services events by confirming next steps and continuing the on-board process
  • Assist in auditing member data to ensure accuracy
  • Perform data entry and basic analysis, including specialization in pulling specific reports as needed
  • Manages all aspects of departmental Member Assistance Fund requests
  • Assist with the provision of health education, wellness materials, member benefits, as directed
  • Perform any other job duties as requested

Education and Experience:

  • High School Diploma or GED required
  • Associates degree in business or related field or equivalent years of work experience is preferred
  • Minimum of two (2) years of experience in administrative support or customer service required

Competencies, Knowledge and Skills:

  • Proficient with Microsoft Office, including Outlook, Word, Excel and PowerPoint
  • Strong written and verbal communication skills
  • Ability to work independently and within a team environment
  • Effective listening and critical thinking skills
  • Time management skills
  • Customer service oriented
  • Experience engaging customers telephonically
  • Effective problem-solving skills with attention to detail
  • Strong interpersonal skills and high level of professionalism
  • Skilled at multi-tasking
  • Proficient in database management
  • Experience within Microsoft Dynamics CRM preferred
  • Experience within Guiding Care (Altruista) and Streamline preferred
  • Demonstrate compassion, support and collaboration with members and families
  • Self-motivated and inquisitive
  • Comfort with asking pertinent questions
  • Ability to work in a fast-paced environment
  • Ability to demonstrate and promote ethical conduct
  • Ability to develop positive relationships with all stakeholders
  • Awareness of community & state support resources
  • Organized , detail-oriented and conflict resolution skills
  • Ability to keep composure and professionalism during times of high emotional stress
  • Ability to maintain confidentiality and act in the company’s best interest
  • Proven track record of demonstrating empathy and compassion for individuals
  • Proven track record for improving processes to make things easier for those you have served

Licensure and Certification:

  • To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
  • CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$31,200.00 - $49,900.00

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. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Hourly

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • 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. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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