Customer Service Representative Associate Medicare and Medicaid (Temporary)
Customer Service Representative Associate Medicare and Medicaid (Temporary)
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1 Vacancy
Job Description
Job Summary
Were seeking dedicated and professional candidates for a Temporary CSR role supporting Priority Health running from September 29 2025 through February 27 2026. Applicants must be available to start on the specified date and commit through the end of the assignment. This is a great opportunity to gain experience in a dynamic healthcare environment while making a meaningful impact.
Inbound call center to assist and educate members employer groups providers colleagues and/or agents of health plan benefits with accessing services facilitating and resolving problems understanding claims billing and coding along with other questions. Consistently create an exceptional experience with each contact via inbound and outbound calls face-to-face interactions online chat email etc.
Essential Functions
Analyzes evaluates resolves and responds to service inquires from members providers employer groups colleagues agents Elite agents (customers) and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
Partnering with internal and external resources promptly provides customers with information and education concerning benefit clarification eligibility requirements verification authorization billing and claim status.
Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.
Adheres to established procedure and quality guidelines in support of Priority Health service promise key drivers performance indicators as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
Assists members with administrative issues such as submitting enrollment record changes providing letter explaining coverage or benefits and obtaining and relaying certain member information to other departments as needed.
Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
Develops and maintains behaviors of productivity availability to customers and adherence to work schedule.
Qualifications
Required High School Diploma or equivalent
Preferred Associates Degree
1 year of relevant experience in related field Required
How Corewell Health cares for you
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Priority Health - 1231 E Beltline - Grand RapidsDepartment Name
PH - Customer Service East RegionEmployment Type
Full timeShift
Weekly Scheduled Hours
40Hours of Work
Variable 8 a.m. to 8 p.m.Days Worked
Monday to SaturdayWeekend Frequency
Variable weekendsCURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
IC
Employment Type
Full-Time
