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CareStar · 5 months ago

Customer Service Representative - Blue Ash OH Full-Time

Cincinnati, OH

Full-time

Onsite

Entry Level

1+ years exp

CareStar, Inc. is a recognized leader in long-term care case management and population health, dedicated to improving communities by improving lives. They are currently seeking a Customer Service Representative to join their Support Services department, where the role involves assessing individual needs, developing personalized care plans, and connecting clients with essential services.

EducationHealth CareInformation Technology

Responsibilities

Completes calls to assess eligibility of participants according to program-specific criteria and timeframes. Refers non-eligible participants to appropriate community resources

Explains criteria and application process for applicable waiver programs, Medicaid Services and other community programs to callers in need of services

Adheres to all HIPAA (Health Insurance Portability and Accountability Act) regulations to ensure confidentiality of both consumer and employee information

Sends documents to consumers, home care team members, and callers with 100% accuracy to ensure HIPAA compliance; this includes all clinical documentation, waiver applications and instructions

Investigates returned documents for correct addresses; updates consumer database and/or notifies case manager of needed changes or inability to obtain correct information; notifies provider management of changes needed in the provider database

Emails accurate, complete information from callers to company employees as needed; accurately documents all calls in company electronic Caller Log per protocol

Participates in, and occasionally leads, cross-training efforts to ensure adequate coverage for all administrative services tasks

Qualification

Medical terminologyTelephone customer serviceData entryInterpersonal skillsVerbal communicationWritten communication

Required

High School Graduate or GED equivalent, with knowledge of medical terminology

Ability to provide excellent customer service, including effective interpersonal, verbal and written communication skills, independently and as part of a team