Member and Provider Services Representative

Group Health Cooperative of Eau Claire; Altoona (WI); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Three weeks vacation (first year)

Generous retirement plan

Health insurance

Dental insurance

Wellness program

Job summary

Group Health Cooperative of Eau Claire in Altoona, WI seeks a Member and Provider Services Representative to deliver exceptional service to members and providers. You will answer inquiries, guide telehealth use, and document interactions with accuracy.

The role requires strong communication and customer service skills, with 1–3 years in a call center or similar setting, and proficiency in Word and Excel. The organization offers a robust benefits package and a welcoming culture.

Qualifications

• High school graduate or equivalent; technical college degree preferred.
• 1–3 years of customer service experience; call center background preferred.
• Excellent communication and customer service skills; proficient with Word/Excel.

Responsibilities

• Answer telephone calls in a pleasant, professional manner to provide excellent service.
• Address member and provider questions accurately, educating on telehealth services.
• Document all calls in the system using the Probing Questions format.
• Follow up on issues from calls or reminders efficiently and accurately.
• Assist in person inquiries at the Administrative Office regarding policies and benefits.

Skills

Customer service

Communication

Call center

Education

High school diploma or equivalent

Technical college degree in related field preferred

Tools

Microsoft Word

Microsoft Excel

Job description

Employment opportunities with the Cooperative.

Health is Our Business

Making a move with your employment is a big deal. If you're considering working at the Cooperative, you may be wondering what we are all about.

Member-Focused

We work hard each and every day to build genuine, meaningful relationships, answer questions and offer solutions to your members. We want them to know we are here every step of the way when it comes to health care.

Community-Driven

Our roots are firmly planted in western Wisconsin. We believe in being actively involved in the communities we serve. Employees are encouraged to participate alongside us through sponsorship events, community restoration projects, fundraising opportunities, and much more.

Voted one of the Best Employers in the Chippewa Valley three years in a row!

Great Culture with Amazing Benefits

As the saying goes, work hard...play harder. You should like the people you spend the day with and we do! We celebrate big and little things each year, because it's a truly important part of a healthy work culture.

• Wellness Walks
• Health & Fitness Challenges
• On-Site Fitness Classes
• Sit/Stand Stations
• And More!

WORK WITH US

Current Openings

Think you'd be a good fit? See what opportunities we have available below.

Position:Member and Provider Services Representative

Location: Altoona, WI

Job Id:1538-1314

# of Openings:1

Position Purpose
The Member and Provider Service Representative provides exceptional customer service and accurate information to Cooperative members and providers.

Essential Position Functions

• 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. Representatives will also 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.

Minimum Requirements of the Position

• High school graduate or equivalent. Technical college degree in a related field is preferred.
• 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.

Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).

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.

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!

Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.