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