We are currently recruiting for a medical customer service representative for a premier Grand Rapids medical call center. The customer service call center representative is responsible for assisting members and clients with disputes, questions, and interpretation of plan descriptions and plan documents via the telephone.
Customer Service Functions:
- Develop and strengthen relationships with members and clients through phone contact and call resolution.
- Answer 100 calls per day.
- Provide benefits, status, and claim information to callers.
- Effectively utilize all customer service tools available.
- Take an active role in claims and customer service meetings.
- Medical/HRA/HSA/Dental/Vision/Flex/STD self-insured knowledge is essential
- Benefit interpretation of a Summary Plan Description and a Plan Document.
- Support the Operations Service team as it relates to mutual goals.
Administrative Duties:
- Complete all requested processes and procedures of the Claims/Customer Service Area.
- Assist Account Managers with client service inquiries, when applicable.
- Other duties as assigned.
Qualifications Required
- Demonstrated excellent communication skills, both verbal and written.
- Preferably 3-5 years experience in the Healthcare field which would require knowledge of medical insurance terminology.
- Professional phone voice and attitude is required.
- Excellent attendance record
Education and/or Experience
- Minimum 1-year experience within a call center where customer service and the overall member experience is the priority.
- Work Schedule is Monday-Friday.
Job Type: Full-time
Pay: $17.00 - $18.00 per hour
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Job Type: Full-time
Pay: $17.00 - $18.00 per hour
Benefits:
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Application Question(s):
- Have you worked in the healthcare or health insurance business?
- How quickly can you start work?
Education:
- High school or equivalent (Preferred)
Experience:
- Call center: 2 years (Preferred)
- Customer service: 2 years (Preferred)
- Medical: 2 years (Preferred)
Ability to Commute:
- Grand Rapids, MI (Preferred)
Work Location: In person