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Medicare Customer Service Representative, Michigan jobs in United States
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McLaren Health Care · 2 days ago

Medicare Customer Service Representative, Michigan

McLaren Health Care is a Managed Care Organization dedicated to meeting the health care needs of its members. They are seeking a Medicare Customer Service Representative to handle daily member calls, educate members, and assist providers with eligibility and claims issues.
Health CareHospitalMedicalOncologyRehabilitation
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H1B Sponsor Likelynote

Responsibilities

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
Supports Medicare Advantage members

Qualification

Customer service experienceHealthcare knowledgeMedicare knowledgeProblem solvingCommunication skills

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

Company

McLaren Health Care

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McLaren Health Care is a fully integrated health network committed to quality evidence-based patient care and cost efficiency.

H1B Sponsorship

McLaren Health Care has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (3)
2023 (1)
2022 (1)
2021 (4)

Funding

Current Stage
Late Stage
Total Funding
unknown
2021-01-01Acquired

Leadership Team

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Chris Candela
President and Chief Executive Officer McLaren Flint
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Chad Grant
Executive Vice President & Chief Operating Officer
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Company data provided by crunchbase