Customer Service Associate
hace 20 horas
Customer Service Associate Associate III - BPM Who we are UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer‑centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities. You Are Reporting to the Customer Service Manager, the Customer Service Associate will provide exceptional customer service to UST customers via inbound Call Center Operations. The Associate will mentor new call center agents as well as support the improvement of peers. The service center will be open from 8 am‑6 pm CST USA and will include related schedules. The Opportunity 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, maintaining a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts. What you need 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 Blue‑Sky health plan or insurance company and/or TPA. Previous Health Care Call Center/Customer Service Experience. Desired skills: Knowledge of physician practice and hospital coding, billing and medical terminology. Experience with UB/Institutional (UB04); Professional (CMS) claims and HIPAA‑compliant EDI formats for claims related exchanges. Understanding of CMS guidelines for claims processing. Must be able to work with minimal supervision. Excellent verbal and written communication skills. What we believe Humility We will listen, learn, be empathetic and help selflessly in our interactions with everyone. Humanity Through business, we will better the lives of those less fortunate than ourselves. Integrity We honor our commitments and act with responsibility in all our relationships. Equal Employment Opportunity Statement UST HealthProof is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance. USTHealthproof LI-LR1 Crear una alerta de empleo para esta búsqueda #J-18808-Ljbffr
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Customer Service Associate
hace 19 horas
Xico, México Kidzania A tiempo completoKidZania is an international company dedicated to children entertainment. We are looking for your talent as a Customer Service Associate – Santa Fe. Requirements Bachelor's Degree: Business Administration, Public Relations, Marketing or related Minimum experience: 1 year as Customer Service Associate Advanced English Availability to work 9 hours with...
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Customer Service Associate I
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Remote- Customer Success Associate
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Customer Service Lead
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Xico, México Percepta International A tiempo completoCustomer Service Lead MX-DF-Mexico DF At Percepta, we bring first‑class service across each market we support. As a Customer Service Lead in Mexico City, you'll be part of creating and delivering amazing customer experiences, while also enjoying the satisfaction of being part of a unique culture. What You’ll Be Doing Will be provided specific tasks...
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Customer Service Lead
hace 3 semanas
Xico, México Percepta International A tiempo completoCustomer Service Lead MX-DF-Mexico DF At Percepta, we bring first‑class service across each market we support. As a Customer Service Lead in Mexico City, you'll be part of creating and delivering amazing customer experiences, while also enjoying the satisfaction of being part of a unique culture. What You’ll Be Doing Will be provided specific tasks...
