Member and Provider Services Representative

Group Health Cooperative • Altoona, WI

6d • Onsite

About The Position

The Member and Provider Service Representative provides exceptional customer service and accurate information to Cooperative members and providers. This full-time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.

Requirements

• High school graduate or equivalent.
• One to three years of customer service experience, call center background preferred.
• Excellent communication and customer service skills.
• Proficient in the use of Microsoft Word and Excel.

Nice To Haves

• Technical college degree in a related field is preferred.

Responsibilities

• Answer telephone calls in a pleasant, professional, and efficient manner assuring exceptional customer service.
• Answer member and provider questions in an accurate and efficient manner incorporating the “Probing Questions” method.
• Educate our members to the telehealth services the Cooperative has to offer.
• Document all incoming calls and outbound calls in Trucare in a complete and accurate manner utilizing the “Probing Questions” format.
• Follow up on issues resulting from phone calls or reminders as efficiently and accurately as possible.
• Research member and provider questions as needed using all the appropriate resources available.
• Conduct outgoing telephone calls for the timely resolution of member and provider inquiries.
• Assist members who come to the Administrative Office in person with questions or inquiries regarding their policy and benefits.
• Educate members on plan policies and procedures at every opportunity.
• Keep up to date on the various plans and benefit structure under each plan.
• Comply with all company policies and procedures.

Benefits

• Three weeks of vacation the first year
• Generous retirement plan
• Health and dental insurance
• Wellness program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED