Client Service Representative

Company Name:
Salary period: Annual
Job Purpose:
Responsible for answering incoming calls from customers, answer inquiries and questions, handle complaints, troubleshoot problems and provide information and assistance related to Healthcare Programs and Services. Utilize the Customer Relationship Management (CRM) software and other customized systems to perform all tasks and duties for customers to ensure delivery of high quality service for all consumers.
Position Duties:
ΓΆΒ ΒΆ Responds to enrollment and/or eligibility services calls, provides responses to questions, mails information in response to requests, and refers callers in the event of problems or concerns.
ΓΆΒ ΒΆ Educates client on managed care.
ΓΆΒ ΒΆ Assesses client health care needs and assist clients in choosing a health plan.
ΓΆΒ ΒΆ Maintains updated knowledge of the project.
ΓΆΒ ΒΆ Maintains updated knowledge of health and dental plans (MIChild only) that are available to clients.
ΓΆΒ ΒΆ Assists clients in enrolling/disenrolling in health plans and dental plans (MIChild only) and in completing MIChild applications.
ΓΆΒ ΒΆ Receives, sorts, reviews for accuracy and completeness, and processes enrollment/disenrollment forms.
ΓΆΒ ΒΆ Sends necessary letters to clients.
ΓΆΒ ΒΆ Raises issues of concern and/or problems to the attention of the Supervisor.
ΓΆΒ ΒΆ Assists MIChild clients in determining and renewing eligibility.
ΓΆΒ ΒΆ Verifies enrollment and case information in CIMS, MMIS, MAXSTAR and the MIChild database.
ΓΆΒ ΒΆ Meets all standards established for the position as outlined in the performance criteria.
ΓΆΒ ΒΆ Performs other duties as may be assigned by management.
Location: East Lansing, MI
Hours:8 hour shifts between 8:00am - 7:00pm, Monday - Friday

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