Customer Service Representative, Michigan - Temporary at McLaren Health Care

%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3EWe are looking for a Customer Service Representative, to join us in leading our organization forward.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3EMcLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3EMcLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive.%3C/span%3E%3Cspan style=%22line-height:107%;mso-spacerun:yes;%22%3E%26nbsp; %3C/span%3E%3Cspan style=%22line-height:107%;%22%3EAs an employee of MIG,%26nbsp;you will be a 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.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3EMcLaren Health Plan is our Michigan-based%26nbsp;health plan dedicated to meeting the health care needs of each of our Michigan members.%26nbsp; Learn more about McLaren Health Plan at%26nbsp;%3C/span%3E%3C/span%3E%3Ca target=%22_blank%22 rel=%22noopener noreferrer%22 href=%22https://www.mclarenhealthplan.org/%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3Ehttps://www.mclarenhealthplan.org%3C/span%3E%3C/span%3E%3C/a%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3E.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3EMDwise 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%26nbsp;health insurance programs.%26nbsp;%26nbsp;Learn more about MDwise, Inc. at%26nbsp;%3C/span%3E%3C/span%3E%3Ca target=%22_blank%22 rel=%22noopener noreferrer%22 href=%22https://www.mdwise.org/%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3Ehttps://www.mdwise.org/%3C/span%3E%3C/span%3E%3C/a%3E%3Cspan style=%22background-color:white;color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22line-height:107%;%22%3E.%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cstrong%3EPosition Summary:%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22mso-bidi-font-size:12.0pt;%22%3EThis 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.%3C/span%3E%3Cspan style=%22mso-bidi-font-size:12.0pt;mso-spacerun:yes;%22%3E%26nbsp; %3C/span%3E%3Cspan style=%22mso-bidi-font-size:12.0pt;%22%3EAlso may be responsible for assisting providers with eligibility, benefit, and resolution of claims issues.%3C/span%3E%3C/span%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cspan style=%22mso-bidi-font-size:12.0pt;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:12px;%22%3E%3Cstrong%3EThis position is fully remote.%3C/strong%3E%3C/span%3E%3Cspan style=%22background-color:white;color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E

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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