Customer Service Representative, Indiana - Hybrid - Spanish and Burmese

Karmanos Cancer Institute; Indiana (PA); Hybrid; USD 30,000 - 50,000; Full time

Job summary

An established industry player is seeking a Bilingual Customer Service Representative to enhance their dynamic team. This hybrid role involves engaging with members through calls, providing essential guidance, and ensuring seamless access to services. Ideal candidates will possess strong customer service skills and be fluent in both Spanish and Burmese. Join a forward-thinking organization committed to improving healthcare experiences for its members, where your contributions will truly make a difference in the community.

Qualifications

• 1 year experience in customer service with direct contact.
• Experience in a physician healthcare office or high-volume call center preferred.

Responsibilities

• Handle daily member calls, directing them to proper services.
• Educate members and assist providers with claims issues.

Skills

Customer Service

Bilingual (Spanish and Burmese)

Problem Solving

Education

High School Diploma or equivalent

Job description

McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.

Customer Service Representative, Indiana - Hybrid - Spanish and Burmese

We are looking for a Customer Service Rep- Bilingual, to join us in leading our organization forward.

McLaren 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.

McLaren 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.As an employee of MIG,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.

McLaren Health Plan is our Michigan-basedhealth 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 State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Planhealth 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.

Burmese and Spanish speaking individuals required.

This is a hybrid position with requirements to come onsite as scheduled, Indianapolis, IN.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

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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.

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

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McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.