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Customer Service Representative, IN - Remote
McLaren Health Care Indianapolis, IN
$37k-47k (estimate)
Full Time | Ambulatory Healthcare Services 4 Days Ago
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McLaren Health Care is Hiring a Remote Customer Service Representative, IN - Remote

We are looking for a Customer Service Representative to join us in leading our organization forward.
McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, 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 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-based health 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 Plan health 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.
This position is totally remote. Equal Opportunity Employer of Minorities/Females/Disabled/Veterans 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.
Additional Information
  • Schedule: Full-time
  • Requisition ID: 24004450
  • Daily Work Times: 8:00 am - 5:00 pm
  • Hours Per Pay Period: 80
  • On Call: No
  • Weekends: No

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$37k-47k (estimate)

POST DATE

06/23/2024

EXPIRATION DATE

06/26/2024

WEBSITE

mclaren.org

HEADQUARTERS

DEWITT, MI

SIZE

7,500 - 15,000

FOUNDED

1914

REVENUE

$200M - $500M

INDUSTRY

Ambulatory Healthcare Services

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About McLaren Health Care

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $6 billion (budget FY21), fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 15 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a 490-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering approximately 640,000 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malp...ractice insurance company. McLaren operates Michigans largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S. As part of its Graduate Medical Education (GME) program, McLaren maintains academic affiliations with medical schools at Wayne State University, Michigan State University and Central Medical University. McLarens six (6) GME campuses offer 27 residencies and eight (8) fellowship programs that train over 650 future physicians annually. All GME programs at McLaren are overseen and managed centrally by the Department of Academic Affairs. More
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