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Customer Service Representative

United States, Troy · Job Posted June 29, 2026
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Job Description

We are looking for a dedicated and customer-focused Customer Service Representative to join our team in Troy, Michigan. This Contract position offers an opportunity to assist customers with their medical-related inquiries in a detail oriented and supportive environment. You will handle a variety of tasks, including answering questions about benefits, claims, and pre-authorizations, ensuring a high standard of customer satisfaction. This role is primarily remote, but occasional in-office attendance will be required.

Job Responsibility

  • Respond to customer inquiries via phone and email, providing accurate and timely information
  • Resolve issues related to pre-authorizations, claim statuses, and benefit details with attention to detail
  • Maintain detailed and accurate records of all customer interactions using company systems
  • Stay informed about updates and changes to healthcare plans and policies
  • Guide customers through their medical benefits and network provider options
  • Provide pre-authorization for medical treatments when applicable
  • Address outstanding co-payments and explain financial responsibilities to members
  • Escalate unresolved issues to the appropriate manager when necessary
  • Ensure compliance with HIPAA policies and maintain confidentiality at all times
  • Work efficiently in a high-volume call environment while providing excellent service

Requirements

  • At least 1 year of experience in a customer service or call center role, preferably in a healthcare setting
  • Familiarity with medical terminology, diagnosis codes, and healthcare processes
  • Strong computer skills, including proficiency in Microsoft Outlook and typing accuracy
  • Excellent verbal and written communication skills, with an ability to handle difficult conversations calmly
  • Proven ability to multitask and manage time effectively in a fast-paced environment
  • Strong problem-solving skills and critical thinking abilities
  • Availability to work flexible shifts, including evenings, weekends, and holidays
  • Associate’s degree preferred
  • in lieu of a degree, 1-3 years of healthcare customer service experience is acceptable

What we offer

  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan

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