Health Plans Customer Service Advocate

University of Utah Health is a patient-focused organization dedicated to enhancing health and well-being through patient care, research, and education. The Health Plans Customer Service Advocate is responsible for providing exceptional customer service to members and providers, managing inquiries, and resolving issues related to claims and eligibility.

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:

• One year of experience in Customer Service
• 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