SUMMARY: The Customer Care Representative is responsible for providing exceptional service to members and providers of Avera Health Plans. The Customer Care Representative will provide customer service to Avera Health Plans members, providers, groups, and Avera Health Plans staff by providing accurate and timely responses to inquiries regarding eligibility, claims, benefits and appeal rights.
REQUIRED EDUCATION and/or EXPERIENCE:
· High School diploma or GED.
· Familiarity with medical terminology and medical insurance billing.
· Experience in a call center environment is preferred