Job description

About UST HealthProof At UST HealthProof, you will join a fast paced, growing company in our mission to reshape the future of health insurance through significantly reducing administrative costs and building better healthcare experiences for our health plans customers and their members. By creating a modern, cloud based, Best-In-Class core administration ecosystem, we have made healthcare more affordable and helped our health plans operate more efficiently. Through member and provider touchpoints with less friction, we have created real impact for member. UST HealthProof is run by leaders with strong health plan and technology background with a startup mindset and an environment of support where individual growth is nurtured. You will be supporting our proven core admin solutions and business process-as-a-service (BPaaS) operations to provide transparency, improve operational efficiency, break down operational barriers to scale and drive strategic growth. Customer Service Associate III Job Description: Reporting to the Customer Service Manager, the Customer Service Associate will provide exceptional customer service to the UST customers via inbound Call Center Operations. Associate will mentor new call center agents as well as support the improvement of peers. The service center will be open from 8am-6pm CST USA and will occur related schedules.

Duties/Responsibilities:

• Receive and respond to inbound phone calls for customer assistance

• Be a peer mentor

• Take escalated calls and issues as experience dictates

• 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

• Perform other duties as assigned or necessary Required Skills/Abilities

• High school degree required; Bachelor’s degree preferred with three (3) plus years of relevant professional experience in Healthcare claims operations for a large national/regional or Blues health plan or insurance company and/or TPA.

• Previous Health Care Call Center/Customer Service Experience.

• Desired Skills include: Knowledge of physician practice and hospital coding, billing and medical terminology

• Experience with UB/Institutional (UB04); Professional (CMS1500) claims and HIPAA-compliant EDI formats for claims related exchanges. Understand CMS guidelines for claims processing.

• 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

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

COVID-19 considerations:
About UST HealthProof At UST HealthProof, you will join a fast paced, growing company in our mission to reshape the future of health insurance through significantly reducing administrative costs and building better healthcare experiences for our health pla

Work Location: Remote

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