Job Description

  CALL CENTER REPRESENTATIVE - BENEFITS SPECIALIST

Farmington Hills, MI, US

JOB DESCRIPTION

• This is a full-time position, the main office is located in Farmington Hills, Michigan. JMS is seeking individuals with experience in medical claim billing and/or claim processing for client-based call center campaigns focused on Healthcare Benefit Plans. Preferred candidates must have experience with Medical, Dental and Flexible Spending Summary Plans.

MINIMUM DUTIES:

• Answer incoming provider and member calls regarding claim status, member eligibility, benefits and coverage levels related to Medical and Dental Plans.
• Specialists are expected to take at least 30-40 calls a day, with an Average Handle Time (AHT) less than 7 minutes.
• Agents access various claims processing systems and related applications to research and resolve claim or eligibility inquiries and issues.

QUALIFICATIONS:

• Successful candidates will have a minimum of two years Healthcare Industry / Health Insurance experience related to Medical and Dental Plan benefits.
• Minimum 1 year medical claims experience.
• Minimum 2 years fast paced call center experience is preferred but not required.
• High School Diploma or equivalent.

Must be able to produce documents of eligibility to work in the US

CRITICAL COMPONENTS OF SUCCESS:

• Attendance is one of the most critical components of success.
• A quick learner and ability to retain information.
• Strong computer knowledge and excellent typing skills.
• Excellent verbal, written and analytical skills.
• Ability to multi-task with a strong attention to detail.
• Ability to communicate clearly and concisely with customers, managers, and co-workers.
• Positive and Enthusiastic attitude.
• Strong desire to exceed expectations.

COMPETITIVE EMPLOYMENT PACKAGE:

• Insurance Benefits (medical, dental, vision) offered after 90 days
• Employer Paid Life Insurance
• 401k with employer percentage match offered after 61 days of employment
• 10 PTO days in 2022 when you hire in by December 31, 2021
• Paid training provided
• Attendance Incentive Program
  • $500 Sign-On Bonus
  • Hourly Rate increases
• Shift Premium Incentive available (Premium begins with any shift that starts after 11:00 am EST)
• NV residence only eligible for PTO Benefit
• Only certain states are eligible for Benefits

HOURS:

• Training Hours: 9:00am – 5:30pm
• Job Type: Full-time
• Pay Rate: $16.00 per hour

COVID-19 considerations: To keep our employees safe we provide training on safe practices, practice social distancing, provide gloves (upon request) and ask our employees to complete a symptom related survey as well as self-monitor and report any symptoms or exposures.