p>Essential Functions: ā¢ Resolve member/beneficiaries or provider routine service inquiries; examples include claims processing, member benefit education, contracting and credentialing requests, and when applicable, eligibility inquiries, and transportation arrangements ā¢ Ensure all HIPAA, State and/or Federal requirements/regulations are always adhered to ā¢ Research, follow up, and resolve all open/pending issues in a timely manner to ensure member or provider satisfaction ā¢ Build and strengthen member or provider relationships by providing quality customer service ā¢ Maintain knowledge and understanding of all processes and procedures ā¢ Adhere to all departmental and company policies and procedures ā¢ Maintain complete and accurate documentation of all of telephone and written communications ā¢ Act as a mentor to new hire employees ā¢ Perform any other job related instructions, as requested. 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.