Directly supervises, manages and oversees staff, including hiring, firing and providing performance evaluations, including individual development goals and objectives. 

Schedules staff to ensure coverage of programs and responsibilities to be performed without interruption. 

Makes decisions for elevated situations or issues that arise and resolves them accordingly.  

Completes reports in a timely manner and provides them to the intended individuals. 

Analyzes reports made within CareStar to make effective plans and decisions. 

Ability to make 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 staff to provide 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. 

Ensures any returned documents are handled correctly by staff and provides instruction in these situations as needed. 
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.

Possession of, or working toward completion of, Bachelor’s Degree in healthcare specialty preferred, or 5 years’ experience in the healthcare field, or some combination thereof. 

If working toward a bachelor’s degree, it is expected to be earned within 2 years of the position start date. 

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. 

Demonstrated problem-solving skills, organization skills, attention-to-detail, prioritization, flexibility and desire to develop new skills. 

Proficient computer skills and familiarity with the suite of Microsoft Office programs. 

Valid driver’s license and car insurance as required by State law. 

Why Join CareStar?