Job Information

University of Utah Health Health Plans Customer Service Advocate in Murray, Utah

Overview

We are University of Utah Health. 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

Overview:

  • 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.

  • The incumbent 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.

Benefits:

  • Save 50% on Tuition (Tuition reduced for eligible employees attending the University of Utah)

  • Health Coverage, Dental Coverage, Life Insurance

  • Retirement

  • Paid Time Off

  • 10 Paid Holidays per year

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our four hospitals and seventeen clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

How to Apply:

  • Submit your application online atemployment.utah.edu

  • Upload most recent up dated resume with work history and experience.

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.

Knowledge / Skills / Abilities

  • 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.

Qualifications

Qualifications Required

  • One year of 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, Walking

EEO Statement

University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.

Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

University of Utah Heath Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500.If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action:

Sherrie Hayashi

Director/ Title IX Coordinator

Office of Equal Opportunity and Affirmative Action (OEO/AA)

135 Park Building

Salt Lake City, UT 84112

801-581-8365

oeo@utah.edu

Online reports may be submitted atoeo.utah.edu/

For more information: https://www.utah.edu/nondiscrimination/

To inquire about this posting, email: careers@hsc.utah.edu

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules.

This position may require the successful completion of a criminal background check and/or drug screen.

Requisition Number 54380
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule 8:00am-6:pm varies
Location Name University of Utah Health Plans
Patient Care? No
City Murray
State UT
Department UIP CST 01H UUHP OPERATIONS
Category Insurance / Health Plans