Customer Services Specialist (Healthcare)

Location: Farmington Hills, Michigan, United States; Schedule: Onsite; flexible shifts, including evenings, weekends, and overtime as scheduled

Salary: $23.50 per hour; W-2 contract for 13 weeks with an opportunity for extension

Company

hirify.global provides contract staffing services for customer service and healthcare operations.

What you will do

• Respond to member inquiries, complaints, and appeals by phone, mail, and in person.
• Educate existing and prospective members about HAP policies, products, benefits, and coverage provisions.
• Research service issues, coordinate with support departments and providers, and ensure timely resolution and follow-up.
• Document inquiries accurately to maintain member histories and identify trends.
• Monitor workflow inboxes and outstanding cases while maintaining department and corporate standards.
• Recommend process improvements and support enrollment periods, outreach activities, and departmental projects.

Requirements

• At least two years of recent customer service or call center experience within the last three years.
• Fundamental understanding of HMO, PPO, and POS delivery systems and claims billing.
• Efficient use of a PC and Microsoft programs.
• Strong interpersonal, listening, verbal communication, business writing, problem-solving, and organizational skills.
• Associate’s degree, or at least four years of recent related customer service experience in lieu of the degree.
• Course in medical terminology required within six months after employment; confidentiality and HIPAA compliance must be maintained.

Culture & Benefits

• W-2 contract employment with a three-month engagement and possible extension.
• Flexible shift availability is required, including evenings, weekends, and overtime.
• Training, development sessions, and continuing education opportunities are provided.
• Work includes collaboration with internal departments, healthcare providers, members, and prospective members.