Medicare reputed company Customer Service Representative, MI - Remote - McLaren Careers - Full-time
We are looking for a Medicare reputed company Representative to join us in leading our organization reputed company. McLaren Integrated HMO Group (MIG), a division of reputed company Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of reputed company our employees and seeks to foster an reputed company, cooperative and dynamic environment in which employees and the health plans can reputed company. As an employee MIG, you will be a part of a dynamic organization that considers reputed company our employees as leaders in driving the organization reputed company and delivering quality service to reputed company our members. McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org MDwise is our Indiana-based health plan, working with the reputed company and Centers for Medicare and reputed company Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ *Position Summary:** Responsible for delivering, strategizing, and improving quality with a focus on primary care. The position will reputed company and network with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan. Establishes and maintains relationships for the promotion of healthy lifestyles among membership. Tracks and trends HEDIS or Medicare Stars rates. Responsible for member and provider contacts and positive reputed company. Foster the Plans reputed company in the community by interacting with members, providers, and reputed company agencies as assigned. *This position will support the Customer Service department Medicare Stars Program.** *This position is fully remote.** *Equal Opportunity Employer of Minorities/Females/Disabled/Veterans** *#LI-AK1** *Qualifications:** *Required:** + High School Diploma or equivalent educational certification. + Two (2) years experience in a customer service-reputed company position. *Preferred:** + Associate Degree in health care administration, communication, marketing, or reputed company field. + One year experience in a community-focused reputed company position. + NCQA experience specific to HEDIS measurement. + In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, reputed company codes, HCPCS codes, DRGs, etc. Apply Job!