Member Care Advocate — Health Plan Support

McLaren Health Care; Flint (MI); In loco; USD 32.000 - 42.000; Tempo pieno

Descrizione del lavoro

McLaren Health Plan is seeking a Customer Service Representative to handle daily member telephone calls, directing members to the proper services and educating them on benefits. The role involves problem solving and creating linkages to the Medical Management Department for service authorization.

You may also assist providers with eligibility, benefits, and resolution of claims issues. Full-time position with structured schedule, requiring clear communication, empathy, and reliable teamwork in a

Competenze

• High School Diploma or equivalent certification.
• One year of customer service experience with direct contact via telephone, email, chat and/or face-to-face.

Mansioni

• Handle daily member telephone calls, directing members to the proper services and educating them on benefits.
• Problem solving and creating linkages to the Medical Management Department for authorization of services.
• Assist providers with eligibility, benefit, and resolution of claims issues.

Conoscenze

Customer service

Communication

Problem solving

Formazione

High School Diploma

Descrizione del lavoro

McLaren Health Plan is seeking a Customer Service Representative to handle daily member telephone calls, directing members to the proper services and educating them on benefits. The role involves problem solving and creating linkages to the Medical Management Department for service authorization.

You may also assist providers with eligibility, benefits, and resolution of claims issues. Full-time position with structured schedule, requiring clear communication, empathy, and reliable teamwork in a