Customer Care Specialist I (Central/Pacific location required)
About The Position
TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provider services through provider engagement representatives and customer care. Our sole mission is to improve the health of Mississippians by leveraging local physician experience to inform decision-making, aligning incentives, using data more effectively, and reducing friction between the delivery and financing of health care. By doing so, TrueCare will change the way health care is delivered in Mississippi. Job Summary: The Customer Care Specialist I assists members/beneficiaries or providers with routine service inquiries.
Requirements
- High School Diploma or equivalent is required
- Two (2) years customer service experience is preferred
- Customer Service experience in a call center is preferred
- 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
- Must adhere to an assigned daily work schedule and have predictable and reliable attendance
Responsibilities
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
