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Medical Customer Service Rep

https://www.roberthalf.com Logo

Robert Half

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Location:
United States , Minneapolis

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Category:
Customer Service

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Contract Type:
Employment contract

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Salary:

Not provided
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Job Description:

We are looking for a Medical Customer Service Rep to support a healthcare organization serving members in Minneapolis, Minnesota. This Long-term Contract opportunity is ideal for someone who is comfortable handling high-volume calls, resolving benefit and claims-related questions, and guiding members through available healthcare services. The person in this role will deliver attentive service, provide accurate information, and help members navigate coverage, authorizations, and transportation-related support. This role is remote but does require candidates to be local to MN for quarterly onsite meetings.

Job Responsibility:

  • Handle incoming calls from health plan members and provide clear answers related to coverage, claims activity, and amounts owed to providers
  • Review member benefit information and explain plan details in a way that is easy to understand and aligned with service standards
  • Assist callers with questions involving Medicaid programs, managed care services, and eligibility-related concerns
  • Help members understand prior authorization requirements and direct them through the appropriate next steps for care access
  • Use provider network resources to confirm participating providers and support members in locating appropriate care options
  • Guide members through transportation service coordination and appointment navigation when those services are part of their health plan benefits
  • Document interactions accurately and maintain complete records of inquiries, resolutions, and follow-up needs
  • Escalate complex issues when necessary while ensuring members receive timely and courteous support

Requirements:

  • Previous experience in a call center or customer service environment, preferably within healthcare or health insurance
  • Working knowledge of Medicaid, including eligibility, claims, managed care, and related member services
  • Familiarity with prior authorizations and the ability to explain healthcare processes clearly to members
  • Strong verbal communication skills with the ability to remain attentive to detail and empathetic during frequent member interactions
  • Ability to manage a high volume of calls while maintaining accuracy, attention to detail, and quality service
  • Comfortable using multiple systems and resources to research member information and resolve questions efficiently
  • Proven ability to document information thoroughly and follow established procedures for issue resolution
What we offer:
  • medical insurance
  • vision insurance
  • dental insurance
  • life insurance
  • disability insurance
  • 401(k) plan

Additional Information:

Job Posted:
May 04, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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