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SalaryOverview
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
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.
Corporate Overview: University of Utah Health Hospitals and Clinics is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health Hospitals and Clinics is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million.
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
Multi-lingual Candidates Welcomed
To inquire about this posting, email: careers@hsc.utah.edu
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 Health 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)
383 University Street, Level 1 OEO Suite
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/
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 67735
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule 8am-6 pm varies
Clinical/Non-Clinical Status Non-Clinical
Location Name University of Utah Health Plans
Workplace Set Up Remote
City Murray
State UT
Department UIP CST 01H UUHP OPERATIONS
Category Health Plans
Workplace Set Up Remote
