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Medical Customer Service Rep
Robert Half
4d
Minneapolis, MN, US
627 miles away

Job Type
Full-time
Job Description
Description We are looking for a Medical Customer Service Rep to support a healthcare organization serving members in Minneapolis, Minnesota. This Long-term Contract opportunity is ideal for someone who is comfortable handling high-volume calls, resolving benefit and claims-related questions, and guiding members through available healthcare services. The person in this role will deliver attentive service, provide accurate information, and help members navigate coverage, authorizations, and transportation-related support. This role is remote but does require candidates to be local to MN for quarterly onsite meetings. Responsibilities: - Handle incoming calls from health plan members and provide clear answers related to coverage, claims activity, and amounts owed to providers. - Review member benefit information and explain plan details in a way that is easy to understand and aligned with service standards. - Assist callers with questions involving Medicaid programs, managed care services, and eligibility-related concerns. - Help members understand prior authorization requirements and direct them through the appropriate next steps for care access. - Use provider network resources to confirm participating providers and support members in locating appropriate care options. - Guide members through transportation service coordination and appointment navigation when those services are part of their health plan benefits. - Document interactions accurately and maintain complete records of inquiries, resolutions, and follow-up needs. - Escalate complex issues when necessary while ensuring members receive timely and courteous support. Requirements - Previous experience in a call center or customer service environment, preferably within healthcare or health insurance. - Working knowledge of Medicaid, including eligibility, claims, managed care, and related member services. - Familiarity with prior authorizations and the ability to explain healthcare processes clearly to members. - Strong verbal communication skills with the ability to remain attentive to detail and empathetic during frequent member interactions. - Ability to manage a high volume of calls while maintaining accuracy, attention to detail, and quality service. - Comfortable using multiple systems and resources to research member information and resolve questions efficiently. - Proven ability to document information thoroughly and follow established procedures for issue resolution. TalentMatch® Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .