Experienced Customer Service Representative – Remote Opportunity in Michigan for a Dynamic Healthcare Organization

Welcome to McLaren Integrated HMO Group (MIG) We are a leading healthcare organization with a mission to help people live healthier and more satisfying lives. Our culture is built on high performance, and we value the talents and abilities of all our employees. We are committed to fostering an open, cooperative, and dynamic environment in which employees and the health plans can thrive. As an employee of MIG, you will be part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. About Our Health Plans McLaren Health Plan is our Michigan-based health plan dedicated to meeting the healthcare needs of each of our Michigan members. You can learn more about McLaren Health Plan at . MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. You can learn more about MDwise, Inc. at . Job Summary We are seeking an experienced Customer Service Representative to join our team in a remote capacity. As a Customer Service Representative, you will be responsible for handling daily member telephone calls, directing members to the proper services needed, educating members, problem-solving, and creating linkages to the Medical Management Department for authorization of services. You may also be responsible for assisting providers with eligibility, benefit, and resolution of claims issues. This is a temporary, fully remote position that offers a unique opportunity to work with a dynamic healthcare organization and make a positive impact on the lives of our members. Key Responsibilities: Handle daily member telephone calls in a professional and courteous manner Direct members to the proper services needed, including medical management and other healthcare services Educate members on their health plan benefits and services Problem-solve and resolve member complaints and concerns Create linkages to the Medical Management Department for authorization of services Assist providers with eligibility, benefit, and resolution of claims issues Meet or exceed performance standards for customer service, including quality, productivity, and attendance Requirements To be successful in this role, you will need: A High School Diploma or equivalent certification At least 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: While not required, the following qualifications are preferred: One (1) year of experience in a physician health care office environment or high-volume call center One (1) year of experience and knowledge of HMO, PPO, TPA, PHO, and Managed Care functions Skills and Competencies: To excel in this role, you will need: Excellent communication and interpersonal skills Strong problem-solving and analytical skills Ability to work in a fast-paced environment and prioritize multiple tasks Strong attention to detail and ability to maintain accuracy Ability to work independently and as part of a team Strong customer service skills and ability to provide excellent service to members and providers Career Growth Opportunities and Learning Benefits: At MIG, we are committed to the growth and development of our employees. As a Customer Service Representative, you will have the opportunity to develop your skills and knowledge in customer service, healthcare, and medical management. You will also have the opportunity to work with a dynamic team and contribute to the success of our organization. We offer a range of training and development programs to help you achieve your career goals, including: Comprehensive training program for new employees Ongoing training and development opportunities to enhance your skills and knowledge Opportunities for advancement and career growth within the organization Recognition and reward programs to recognize your achievements and contributions Work Environment and Company Culture: At MIG, we are committed to creating a positive and supportive work environment that values diversity, equity, and inclusion. We believe that our employees are our greatest asset, and we strive to create a workplace that is engaging, challenging, and rewarding. As a remote employee, you will be part of a virtual team that is connected and collaborative. We offer a range of benefits and perks to support your well-being and work-life balance, including: Competitive salary and benefits package Opportunities for flexible work arrangements, including remote work Comprehensive health and wellness programs Recognition and reward programs to recognize your achievements and contributions Opportunities for professional development and career growth Compensation, Perks, and Benefits: We offer a competitive salary and benefits package to our employees, including: Competitive salary Comprehensive health and wellness programs Recognition and reward programs to recognize your achievements and contributions Opportunities for professional development and career growth Flexible work arrangements, including remote work Conclusion: If you are a motivated and customer-focused individual who is passionate about delivering excellent service, we encourage you to apply for this exciting opportunity. As a Customer Service Representative at MIG, you will be part of a dynamic team that is dedicated to making a positive impact on the lives of our members. You will have the opportunity to develop your skills and knowledge, advance your career, and contribute to the success of our organization. Don't miss out on this opportunity to join our team and make a difference in the lives of others. Apply today! Apply now and take the first step towards a rewarding and challenging career with McLaren Integrated HMO Group (MIG)! Apply for this job