Health Plans Customer Service Advocate

University of Utah Health is an integrated academic healthcare system offering patient care, research, education, and health plan services. The Health Plans Customer Service Advocate provides empathetic, accurate, and expert support to members and providers by handling inquiries about benefits, eligibility, claims, and provider networks in a call center environment.

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

Requirements:

• 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