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
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
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
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 StageTotal Funding
unknown2021-01-01Acquired
Leadership Team
Recent News
2025-11-10
Company data provided by crunchbase