Customer Care Specialist I (Healthcare/Medicare Experience, must live in Ohio)
Core
Assist members, beneficiaries, and providers with routine service inquiries including claims processing, benefit education, and eligibility checks.
Role type
Customer Care Specialist (Healthcare/Medicare)
Builds
Member and provider satisfaction through accurate service resolution
Domain
Healthcare / Medicare
Deliverable
client delivery
Required skills
Claims processing, HIPAA compliance, eligibility verification, benefit education, claims adjudication, provider credentialing, transportation coordination, telephone etiquette, documentation accuracy, multitasking, problem-solving
Preferred skills
Call center experience, 2+ years customer service experience
Technologies
Windows environment
Responsibilities
Resolve routine service inquiries for members and providers; Ensure adherence to HIPAA and federal/state regulations; Research and resolve open issues; Maintain accurate communication documentation; Mentor new hires
Seniority
Entry-level, individual contributor
