Who We Are:
UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.
We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.
Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.
You Are:
Reporting to the Customer Service Manager, the Customer Service Associate will provide exceptional customer service to the UST customers via inbound Call Center Operations. The service center will be open from 8am-6pm CST USA and will occur related schedules.
The Opportunity:
- Receive and respond to inbound phone calls for customer assistance
- Respond to outbound phone call requests
- Document all calls in ticketing and tracking systems
- Respond to customer inquiries and provide data to customers within a required time frame
- Act as liaison between claims department and providers
- Research customer claims in the primary payor systems
- Ensure highest level of customer service on every call
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
What You Need:
- High school degree required; Bachelor’s degree preferred
- 2-3+ years of relevant professional experience in Healthcare claims operations or 2-3+ years of relevant experience in a Call Center environment
- Previous Health Care Call Center/Customer Service Experience.
- Must be able to work with minimal supervision.
- Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts.
- Excellent verbal and written communication skills.
- Attention to detail and problem-solving skills
- Proficiency with MS Office applications, especially Word and Excel.
- Overall Experience level:
- Some experience in customer service setting preferred
- Spanish speaking and written language proficiency preferred
Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST HealthProof provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.
Role Location: Remote
Compensation Range: $35,360-$39,520