University of Utah Health Care

  • Health Plans Customer Service Advocate

    Requisition Number
    30763
    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
  • 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.

    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

    • One year 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

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed