What are the responsibilities and job description for the Member Experience Representative I position at Network Health?
Description
Network Health's success is rooted in its mission to build healthy and strong Wisconsin communities. This mission guides every decision we make, including the people we choose to join our growing team.
The Member Experience Representative I will support our Commercial line of business by addressing benefit interpretations, claims, authorizations, and other member inquiries in a collaborative and innovative environment. This role involves assisting members with their healthcare questions through phone calls and emails, as well as supporting providers with inquiries about Network Health plans.
Our Member Experience Representatives embody our commitment to "Service Excellence" by guiding members through their healthcare needs. They help members understand their benefits, resolve claim concerns, locate providers, and serve as a resource for healthcare providers. At Network Health, we strive to deliver a better healthcare experience, ensuring members get the help they need with just one call.
Job Responsibilities
- Support our Network Health members by answering calls and proactively work to resolve our members questions and concerns.
- Strive for first call resolution, working to resolve member issues at the point of contact.
- Use dual monitors while leveraging computer-based resources to find answers to customers questions and help simplify next steps for members.
- You may reach out to internal departments or external resources to help resolve a member concern.
- We provide a continuous learning environment where you can learn and stay current with our plans, computer systems, and insurance trends.
- You will have the ultimate responsibility of protecting the personal health information of our members.
Requirements
We strive to provide amazing service in plain language that our members will understand. The initial training period is a 6-8 week program with a work schedule of Monday - Friday from 8 : 00am - 4 : 30pm. After your training, you can select a Monday - Friday work schedule of either 8 : 00am to 4 : 30pm or 8 : 30am to 5 : 00pm.
Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both in our hybrid workplace model.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce.
Required
Preferred
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