Customer Service Rep PRN

Job Opportunity At Corewell Health

Inbound call center to assist and educate members, employer groups, providers, colleagues, and/or agents of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, email, etc.

Essential Functions:

• Analyzes, evaluates, resolves and responds to service inquiries from members, providers, employer groups, colleagues, agents, and others within departmental guidelines.
• Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing, and claim status.
• Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes.
• Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.
• Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as corporate values and codes of excellence.
• Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
• Assists members with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.
• Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
• Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
• Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.

Corewell Health cares for you:

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, travel, and more!
• Optional identity theft protection, home and auto insurance, and pet insurance.
• Traditional and Roth retirement options with service contribution and match savings.

Qualifications Required:

• Required High School Diploma or equivalent.
• Preferred Associate's Degree.
• 1 year of relevant experience in related field.

About Corewell Health:

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members, and our communities. We are committed to cultivating and investing in you. Our top-notch teams are comprised of collaborators, leaders, and innovators that continue to build on one shared mission statement - to improve health, instill humanity, and inspire hope.

Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

Primary Location: SITE - Lakeland Hospital St Joseph - 1234 Napier Ave - St Joseph

Department Name: Contact Center - CHS

Employment Type: Part time

Shift: Variable

Hours of Work: Variable

Days Worked: Variable

Weekend Frequency: Variable weekends

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.

You may request assistance in completing the application process by calling 616.486.7447.