Strategic Staffing Solutions
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for Customer Services Specialist for a W2 contract opportunity with one of our clients!
Job Title: Customer Services Specialist
Duration: 13-week contract with a possibility to convert to full-time.
Role type: W2 contract engagement, no C2C.
Location: Milford, MI
W2 hourly rate: $20 an hour.
Key Skills:
Front desk skills • Experience with checking in/outpatients • Collect bill payment • Customer service experience • Medical office experience Job Description:
W2 hourly rate: $20 an hour.
Key Skills:
Front desk skills • Experience with checking in/outpatients • Collect bill payment • Customer service experience • Medical office experience Job Description:
This position has the following primary objectives with respect to customer relations for all HAP product lines:
(1) Provide follow-up and courteous and prompt resolution to member inquiries by conducting thorough investigations and fully educating members and customers.
(2) Support corporate and departmental goals, member enrollment activities, and product implementations.
(3) Research, investigate, and resolve service failures. Improve customer experience by identifying root causes and trends and recommending resolutions for service recovery and retention.
(4) Educate members and prospective members to promote HAP as the health care coverage of choice.
Duties and Responsibilities:
- Respond to inquiries by telephone, mail, and in person; research and answer inquiries, complaints, and appeals by following all department standards, policies, and procedures; and direct inquiries to supporting departments for appropriate action and resolution.
- Educate existing and potential members on policies, procedures, product offerings, benefit plan and coverage provisions related to all HAP products.
- Document all incoming inquiries accurately in to track member inquiry history and trends.
- Practice and maintain confidentiality according to privacy and HIPAA regulations.
- Proactively seek training and development to enhance skills and abilities.
- Monitor workflow inbox and outstanding cases to ensure that all inquiries receive an appropriate response in a timely manner; contact members (by phone/or in writing), as needed, to ensure timely resolution and follow-up to inquiry.
- Interact with support departments in a professional manner to ensure member needs are met.
- Develop and maintain strong business relationships with inter-departments; continue to self-educate on changes in policies and procedures that occur in other departments which could have an impact on department operations and the servicing of member/customers.
- Attend training and development sessions or continuing education opportunities offered by customer service and maintain enhanced skill levels and performance.
- Interact with providers and their staff to obtain information for resolving customer inquiries and complaints.
- Ensure and maintain compliance of all department and corporate standards, policies and procedures.
- Recommend process improvements based on observations and trends identified while interacting with internal and external customers.
- Coordinate and assist with various departmental projects, member enrollment periods, outreach activities, and corporate initiatives.
- Perform other related duties as assigned.
Education
- Course in Medical Terminology (required completion within six months post-employment).
- Associate’s Degree
- Fundamental understanding of HMO/PPO/POS delivery system and claims billing.
- Minimum of two (2) years of recent customer service or call center experience within the last three years.
“Beware of scams. S3 never asks for money during its onboarding process.”
Job ID: JOB-241403
Publish Date: 07 May 2025