Customer Care Resolution Specialist
# Customer Care Resolution Specialist **CareSource** · United States · `Remote` · `Full Time` 💼 **Уровень роли:** `Mid-level` 💰 **Компенсация:** `$47,400 – $76,000` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Customer-Service]` `[Call-Center-Specialist]` `[Customer-Support-Specialist]` `[Healthcare-Customer-Service-Representative]` `[Member-Services-Representative]` `[Customer-Resolution-Specialist]` `[Issue-Resolution-Specialist]` `[Customer-Response-Specialist]` `[Customer-Solutions-Specialist]` `[Resolution-Specialist]` `[First-Call-Resolution-Specialist]` `[Customer-Solutions-Agent]` --- ### About the Role Job Summary: The Customer Care Resolution Specialist is responsible for being a subject matter expert and effectively handling and resolving escalated calls from members and providers. Essential Functions: - Acts as subject matter expert, while staffing the assist line and accurately responding to inquiries presented by Customer Care Specialists - Effectively handle and resolve escalated calls from members and providers - Act as a New Hire Transition Coach for new employees - Identify gaps in current processes and partner with Business Integration Team to solve those issues. - Provide Peer to Peer feedback - Identify training needs for Customer Care Specialists - Manage and process incoming work from internal route boxes, incoming faxes, email, web inquires, and ServiceNow queues - Partner with other departments to ensure internal service levels are achieved - Utilize self-education opportunities to stay abreast of procedural updates – maintain Subject Matter Expert (SME) status in all skill sets - Document all second level support questions by utilizing and maintaining the Assist Line Tracking Database - Act as a role model to other employees by displaying a positive attitude, being helpful and approachable, motivating others and being accountable for actions - Assist members and providers with routine service inquires - Ensure all HIPAA and State requirements/regulations are adhered to at all times in existing and future lines of business - Research, follow up and resolve all open/pending issues in a timely manner to ensure member satisfaction - Maintain knowledge and understanding of, and adhere to, all processes and procedures - May be required to create and conduct departmental training, as business needs dictate; successful completion of the CareSource University Functional Facilitator certification program is required prior to fulfilling these duties - Perform any other job duties as requested Education and Experience: - High School education or equivalent required - Minimum of one (1) year experience in Customer Care (Member Services or Provider Services) required - Minimum of three (3) years customer service experience in a call center is preferred - Minimum of two (2) years of HMO or related industry experience is preferred Competencies, Knowledge and Skills: - Strong understanding of Customer Care processes - Ability to deescalate difficult conversations - Ability to determine root cause of problems and propose solutions - Computer proficiency with knowledge and experience in a “Windows” environment - Typing, 35 WPM - Claims and Coding Experience (ICD9, CPT4, HCPCS, Revenue Code and Dental Coding) - Excellent 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 - Critical thinking and listening skills - Decision making and problem solving skills - Ability to coach and provide feedback effectively - Understanding of Medicaid Working Conditions: - General office environment; may be required to sit or stand for extended periods of time - Must adhere to an assigned daily work schedule and have predictable and reliable attendance Compensation Range: $47,400.00 - $76,000.00 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 Brand= CareSource Originally posted on Himalayas
- Customer-Service
- Call-Center-Specialist
- Customer-Support-Specialist
- Healthcare-Customer-Service-Representative
- Member-Services-Representative
- Customer-Resolution-Specialist
- Issue-Resolution-Specialist
- Customer-Response-Specialist
- Customer-Solutions-Specialist
- Resolution-Specialist
- First-Call-Resolution-Specialist
- Customer-Solutions-Agent
Наблюдалась 2026-10-07, впервые 2026-10-07, источник — Himalayas (JSON API).