Customer Care Specialist I – Healthcare, Medicare Experience

CareSource

. Resolve routine member, beneficiary, or provider service inquiries, including claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements when applicable .

Posted 9/30/2026full-timeRemote • Ohio • United StatesMid-LevelSenior💰 $35,900 - $57,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong customer service skills with a focus on resolving inquiries and building relationships. Proficient in compliance with HIPAA regulations and maintaining accurate documentation in a fast-paced environment.

Highest-signal resume keywords

Customer Service ExperienceHIPAA ComplianceCritical Thinking SkillsWindows ProficiencyStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingMember Benefit EducationContracting and CredentialingEligibility InquiriesTyping Speed of 35 WPMDocumentation MaintenanceProblem-Solving SkillsDecision MakingResearch SkillsMultitasking Ability

Soft Skills

Attention to DetailAdaptabilityProfessional Phone EtiquetteListening SkillsTeam Collaboration

Industry Keywords

Customer ServiceCall Center ExperienceFast-Paced EnvironmentOhio ResidencyHigh School Diploma

About the role

Key responsibilities & impact

Resolve routine member, beneficiary, or provider service inquiries, including claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements when applicable
Ensure compliance with HIPAA and state and federal requirements and regulations
Research, follow up on, and resolve open or pending issues in a timely manner
Build and strengthen member or provider relationships through quality customer service
Maintain knowledge of processes and procedures
Adhere to departmental and company policies and procedures
Maintain complete and accurate documentation of telephone and written communications
Mentor new hire employees
Perform other job-related instructions as requested

Requirements

What you’ll need

Must live in Ohio
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
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
No licensure or certification required

Benefits

Comp & perks

Potential bonus tied to company and individual performance
Substantial and comprehensive total rewards package
Employee total well-being support