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TEKsystems
Call Center Agent (Must Have 2+ Years Experience) + READ JOB DESCRIPTIOn
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Based on Michigan data
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What they do
A Call Center Representative answers calls from customers or makes outbound sales calls. Responds to customer inquiries, provides information on products and services, and manages customer complaints. Records customer information and processes orders. May process payments. May use email to follow up on customer inquiries or calls.
$38,140 / year median in Michigan
-1% projected decline
Job Description
TEKsystems is looking to hire several Healthcare Call Center Reps. Must have call center experience in any industry
- please do not apply if you do not have this experience.
CALL CENTER
experience is required. Please refrain from applying if you are not able to commit to a commute to Plymouth Monday-Sunday 5a-10pm (call center hours). ?Job description:
The Customer Service Representative (CSR) plays a key role in supporting members, providers, and other stakeholders by delivering high-quality service in a fast-paced environment. This role involves responding to inbound inquiries, researching member and provider information, and accurately documenting all interactions while maintaining strict confidentiality and compliance standards. Handle high-volume inbound calls from members, pharmacies, providers, and other partners, actively addressing questions related to prescription benefits, prior authorizations, eligibility, and general plan information. Conduct follow-up outbound calls as needed to provide updates, clarify information, or resolve outstanding issues, providing clear, empathetic, and professional communication, ensuring each caller receives an excellent customer experience. Respond to questions involving confidential or sensitive information, following HIPAA and internal compliance guidelines at all times, accurately documenting all call details in multiple internal systems, ensuring complete and precise data entry. Navigate and utilize multiple software platforms simultaneously, including benefit tools, authorization systems, member databases, and communication logs, as well as meet and exceed performance metrics, including call quality, accuracy, productivity, customer satisfaction, and adherence to schedule. Manage a daily workload of approximately 80-100 calls per day, depending on call complexity and case-by-case research requirements, troubleshooting issues related to prior authorization status, medication coverage, formulary questions, and pharmacy claim inquiries. Collaborate with internal departments to escalate or resolve complex cases when needed, demonstrating strong attention to detail, ensuring all information captured is complete, accurate, as well as compliant. Job Type & Location This is a Contract to Hire position based out of Northville, MI. Pay and Benefits The pay range for this position is $21.00- $21.
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan
- Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Northville,MI.