Position Purpose
The Welcome Call Specialist is responsible for providing exceptional customer service and welcoming all new Group Health members to the health plan.
Essential Position Functions
- Make outbound welcome calls to our members in a pleasant, professional and efficient manner assuring exceptional customer service.
- Document all incoming and outgoing calls, changes and follow-up information in the Electronic Care Management system.
- Each call should cover the basic benefits of the Medicaid program or commercial products and highlight the services we provide.
- Assist members with valid phone numbers for services covered under Forward Health and other helpful resources.
- Complete assessments with our members in a pleasant, professional, and efficient manner assuring exceptional customer service.
- Educate members on plan policies and procedures at every opportunity.
- Make members aware of transportation, telehealth or additional services provided through their health plan benefits.
- Keep up to date on the various plans and benefit structure under the Medicaid plan or commercial products.
- Comply with all company policies and procedures.
- Other duties as assigned.
Minimum Requirements of the Position
- High school graduate or equivalent.
- Minimum one year of customer service experience, call center experience preferred.
- Excellent communication and customer service skills.
- Proficient in the use of Microsoft Word and Excel.
- Knowledge of Medicare, Medicaid, CPT / ICD 10 medical billing codes, and medical terminology are beneficial.
Group Health Cooperative of Eau Claire considers candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to:
[email protected]. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.