Customer Service Representative - Remote (Michigan) - Join Our Dynamic Team!

Job Summary:

We are seeking a highly skilled and motivated Customer Service Representative to join our team at McLaren Integrated HMO Group (MIG), a leading healthcare organization dedicated to helping people live healthier and more satisfying lives. As a Customer Service Representative, you will play a critical role in delivering exceptional service to our members and providers, providing support, and resolving issues in a fast-paced and dynamic environment.

About Us:

McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is a culture of high performance organization with a mission to improve the health and well-being of our members. Our subsidiaries, McLaren Health Plan and MDwise, Inc., value diversity, talent, and teamwork, and strive to create an open, cooperative, and dynamic work environment.

Key Responsibilities:

• Respond to daily member telephone calls, directing them to the proper services needed, educating them on their benefits, and resolving issues.
• Collaborate with the Medical Management Department to authorize services and create linkages for members.
• Assist providers with eligibility, benefit, and claims issues.

Requirements:

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

Preferred Qualifications:

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

What We Offer:

• Competitive salary.
• Remote work opportunity.
• Opportunity to grow your career in a dynamic and leading healthcare organization.
• Equal Opportunity Employer of Minorities/Females/Disabled/Veterans.

How to Apply:

If you are passionate about delivering exceptional customer service and have the skills we're looking for, please submit your application today. Apply Now