Customer Service Representative – Blue Ash OH Full-Time

Company: CareStar, Inc.
Location: Hamilton County, OH (Blue Ash)
Job Type: Full-Time | Office-Based
Industry: Healthcare / Social Services / Case Management

About the Opportunity at CareStar

Founded in 1988 in Cincinnati, Ohio, CareStar, Inc. is a recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we proudly serve individuals across Ohio through compassionate, high-quality care coordination. We are currently seeking a Customer Service Representative to join our Administrative Department. The Customer Service Representative will be responsible for providing coordination of the Support Services Pool by utilizing in-depth knowledge of company functions to effectively schedule assessments and provide support services to internal and external clients.

Key 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.
• Adheres to the CareStar Rule in performance of job responsibilities.
• Understands and complies with CareStar Policies and Procedures.
• Maintains confidentiality as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense.
• Follows the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc.

Minimum Qualifications

• High School Graduate or GED equivalent, with knowledge of medical terminology.
• At least one (1) year of experience in telephone customer service (multi-line, high call volume) and data entry preferred.
• Ability to provide excellent customer service, including effective interpersonal, verbal and written communication skills, independently and as part of a team

Why Join CareStar?

• Competitive pay based on experience and education
• Comprehensive benefits: Medical, dental, vision, life insurance
• 401(k) with a generous company match
• Paid time off + 10 paid holidays
• Employee Stock Ownership Plan (ESOP) – become a part-owner in the company
• Supportive, mission-driven culture focused on improving lives

Apply Today

Ready to make a difference? Visit https://www.carestar.com/about-carestar/careers/ to apply and learn more about joining our team.