Health Plans Customer Service Advocate

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, integrity, quality and trust that are integral to our mission.

EO/AA.

• 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 inquiries via email.

• 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.

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.

Listening, Sitting, Speaking, Standing, Walking

Entry level

Full‑time

Other

Hospitals and Health Care