Health Plans Customer Service Advocate

University Of Utah Medical Group Murray , UT 84107

Posted 2 weeks ago

Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA

This position for use in Health Plans Departments only.

The Customer Service position is responsible for providing world class customer service to our members and providers by demonstrating empathy, advocacy and expertise. This position answers phone inquiries in a call center environment, while optimizing accuracy of information, service and quality. Seeks to optimize the member and provider experience by offering one call resolution by being experts in benefits and eligibility.

This position is not responsible for providing care to patients.

Responsibilities

  • Supports and promotes UUHP's mission, vision, values, and goals.

  • Contributes to positive and productive team environment.

  • Accountable for customer service performance expectations.

  • Explains adjudication of claims for allocation of deductibles, co-pays, co-insurance maximums and provider reimbursements.

  • Provides prompt customer service to members, providers, billing departments and other insurance companies regarding claims, benefits and eligibility, provider network status, and any other related insurance inquiries.

  • Documents phone calls in system and follows up on issues if needed.

  • Resolves problems resulting from claim adjudication and customer service phone calls.

  • May monitor and answer customer service inquires via email.

Knowledge / Skills / Abilities

  • Ability to perform the essential functions of the job as outlined above.

  • Customer service experience.

  • Ability to work effectively, independently, and as part of a team.

  • Strong organization, time management and project management skills and multi-tasking abilities.

  • Detail oriented with problem-solving abilities.

  • Demonstrates strong communication skills.

  • Demonstrates strong computer competency in navigating multiple programs and resources as well as typing.

QualificationsQualificationsRequired

  • Two years experience in Customer Service.

Qualifications (Preferred)Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

  • This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical RequirementsListening, Sitting, Speaking, Standing


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VIEW JOBS 12/1/2018 12:00:00 AM 2019-03-01T00:00 Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA This position for use in Health Plans Departments only. The Customer Service position is responsible for providing world class customer service to our members and providers by demonstrating empathy, advocacy and expertise. This position answers phone inquiries in a call center environment, while optimizing accuracy of information, service and quality. Seeks to optimize the member and provider experience by offering one call resolution by being experts in benefits and eligibility. This position is not responsible for providing care to patients. Responsibilities * Supports and promotes UUHP's mission, vision, values, and goals. * Contributes to positive and productive team environment. * Accountable for customer service performance expectations. * Explains adjudication of claims for allocation of deductibles, co-pays, co-insurance maximums and provider reimbursements. * Provides prompt customer service to members, providers, billing departments and other insurance companies regarding claims, benefits and eligibility, provider network status, and any other related insurance inquiries. * Documents phone calls in system and follows up on issues if needed. * Resolves problems resulting from claim adjudication and customer service phone calls. * May monitor and answer customer service inquires via email. Knowledge / Skills / Abilities * Ability to perform the essential functions of the job as outlined above. * Customer service experience. * Ability to work effectively, independently, and as part of a team. * Strong organization, time management and project management skills and multi-tasking abilities. * Detail oriented with problem-solving abilities. * Demonstrates strong communication skills. * Demonstrates strong computer competency in navigating multiple programs and resources as well as typing. Qualifications Qualifications Required * Two years experience in Customer Service. Qualifications (Preferred) Working Conditions and Physical Demands Employee must be able to meet the following requirements with or without an accommodation. * This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements Listening, Sitting, Speaking, Standing Requisition Number 31519 Reg/Temp Regular Employment Type Full-Time Shift Day Work Schedule Varies from 8am to 6pm Location Name University of Utah Health Plans Patient Care? No City Murray State UT Department UIP CST 01H UUHP OPERATIONS Category Insurance / Health Plans The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply. University Of Utah Murray UT

Health Plans Customer Service Advocate

University Of Utah Medical Group