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Customer Service Representative, Michigan - Temporary

Customer Service Representative, Michigan - Temporary

McLaren HealthLong Beach, CA, US
1 day ago
Job type
  • Full-time
Job description

Customer Service Representative

McLaren Integrated HMO Group is seeking a Customer Service Representative to join our team and lead our organization forward. We are an organization dedicated to helping people live healthier and more satisfying lives.

This position will be responsible for daily member telephone calls which will include directing members to the proper services needed, educating members, problem solving, and creating linkages to the Medical Management Department for authorization of services. Also may be responsible for assisting providers with eligibility, benefit, and resolution of claims issues. This position is fully remote.

Qualifications : Required :

  • High School Diploma or equivalent certification.
  • One (1) year experience in a customer service related role with direct contact with customers via telephone, email, chat and / or face-to-face.

Preferred :

  • One (1) year experience in a physician health care office environment or high-volume call center.
  • One (1) year experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions.
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