Member & Provider Support Specialist

Eauclairechamber; Eau Claire (WI); On-site; USD 20,664 - 27,552; Full time

Benefits offered by this job

Three weeks of vacation in the first/j

Generous retirement plan

Health and dental insurance

Wellness program

Job summary

Group Health Cooperative of Eau Claire is seeking a Member and Provider Services Representative to deliver exceptional customer service to cooperative members and providers. The role involves answering calls, educating on telehealth services, documenting interactions, and resolving inquiries promptly.

Ideal candidates have a high school diploma or equivalent, 1–3 years of customer service experience, strong communication skills, and proficiency with Word and Excel.

Qualifications

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

Responsibilities

• Answer telephone calls in a pleasant, professional, and efficient manner.
• Answer member and provider questions accurately, educating on telehealth services.
• Document all calls in Trucare using the Probing Questions format.
• Follow up on issues from calls or reminders efficiently and accurately.
• Research member and provider questions using available resources.
• Conduct outgoing calls for timely resolution of inquiries.
• Assist members in person with questions regarding their policy and benefits.
• Educate members on plan policies and procedures.
• Stay up to date on plan options and benefits.
• Comply with all company policies and procedures.

Skills

Customer service

Communication

Microsoft Word

Excel

Education

High school diploma or equivalent

Technical college degree (preferred)

Tools

Trucare CRM

Job description

Group Health Cooperative of Eau Claire is seeking a Member and Provider Services Representative to deliver exceptional customer service to cooperative members and providers. The role involves answering calls, educating on telehealth services, documenting interactions, and resolving inquiries promptly.

Ideal candidates have a high school diploma or equivalent, 1–3 years of customer service experience, strong communication skills, and proficiency with Word and Excel.