Call Center Representative (Must Have 2+ Years Experience)
TEKsystems
Westland, MI (In Person)
$43,680 Salary, Full-Time
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Job Description
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 Westland, MI. Pay and Benefits The pay range for this position is $21.00 - $21.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:- 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 Westland,MI.
San Francisco Fair Chance Ordinance:
Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.Massachusetts Lie Detector:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.Similar remote jobs
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