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.

Location:

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 with our hybrid workplace model.

Hours:

1.0 FTE, 40 hours per week, 8am

5pm Monday through Friday.

Target Start Date:

This position has a target start date of August 10, 2026 contingent upon the candidate's availability to begin employment. Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team. Job Responsibilities Demonstrate behaviors that align with Network Health's mission, vision, values, and organizational philosophy.\nConsistently comply with all organizational policies, regulatory requirements, credentialing standards, and applicable procedures.\nRespond professionally and efficiently to incoming phone calls from members, customers, providers, and brokers regarding benefits, coverage, claims, billing, authorizations, and other health plan inquiries.\nUtilize active listening and effective questioning techniques to fully understand the caller's needs and achieve first-call resolution whenever possible.\nAccurately document all customer interactions within the appropriate systems and complete required follow-up activities in a timely manner.\nCollaborate with internal departments to resolve outstanding issues and ensure timely, accurate responses to customer inquiries.\nEscalate complex or unresolved issues to a Senior Representative, Supervisor, or other appropriate resource when necessary.\nMeet established departmental quality, productivity, service, and contractual performance standards.\nPerform other duties and responsibilities as assigned.

Job Requirements:

High school diploma or equivalent\nStrong desire to help others\nPrevious experience in the insurance industry is a plus\nMedical terminology background is a plus\nExcellent communication skills including the ability to clearly explain complicated subjects\nWarm and pleasant demeanor over the phone. 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