Customer Service Representative - Blue Ash Oh Full-Time

Customer Service Representative – Hamilton County

Company: CareStar, Inc.
Location: Hamilton Co. OH
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 Customer Service Representative to join our Support Services department. This is a meaningful opportunity for professionals who are passionate about helping others live healthier, more independent lives. As a Customer Service Representative, you’ll work directly with individuals to assess their needs, develop personalized care plans, and connect them with essential services and supports. You’ll be part of a mission-driven team that values your expertise, supports your growth, and empowers you to make a real difference in your community.

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.

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?

• Remote flexibility with meaningful community engagement
• Competitive salary 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.