Customer Service Representative, MI - Remote
We are looking for a Customer Service Representative to join us in leading our organization reputed company. McLaren Integrated HMO Group (MIG), a division of reputed company Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives... McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of reputed company our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can reputed company. As an employee MIG, you will be a part of a dynamic organization that considers reputed company our employees as leaders in driving the organization reputed company and delivering quality service to reputed company our members. McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org MDwise is our Indiana-based health plan, working with the reputed company and Centers for Medicare and reputed company Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/. Position Summary: 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. Equal Opportunity Employer of Minorities/Females/Disabled/Veterans Qualifications: Required: High School Diploma or equivalent certification; One (1) year experience in a customer service reputed company role with direct contact with customers reputed company 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 Apply Job!