Customer Care Specialist I (Healthcare/Medicare Experience, 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 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 Professiona