[Remote] Health Plans Customer Service Advocate

Note: The job is a remote job and is open to candidates in USA. University of Utah Health hires a Health Plans Customer Service Advocate to provide accurate, empathetic service to members and providers in a call center environment. The role handles inquiries about claims, benefits, eligibility, and provider networks, and works to resolve issues and deliver one-call resolution.

Responsibilities

• Supports and promotes UUHP's mission, vision, values, and goals
• Contributes to positive and productive team environment
• Maintains accountability 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

Skills

• Ability to perform the essential functions of the job as outlined above
• Demonstrated skills in customer service
• 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
• Demonstrated strong communication skills
• Demonstrated strong computer competency in navigating multiple programs and resources as well as typing
• One year of experience in Customer Service

Benefits

• Remote work

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