Customer Service Associate

hace 7 meses

Ciudad de México UST A tiempo completo

**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 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.

**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 Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts.

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 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 mínimal supervision.
- Excellent verbal and written communication skills.

**What we believe**:
We’re proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.

**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

  • Customer Service Support Associate

    hace 2 meses

    Ciudad de México, Ciudad de México Speed Fc Cart A tiempo completo

    Job OverviewWe are seeking a highly motivated and customer-focused Customer Service Support Associate to join our team at Speed Fc/Cart. As a key member of our support team, you will be responsible for delivering exceptional customer experiences and ensuring timely resolution of customer inquiries.About the RoleThe successful candidate will have excellent...

  • Customer Service Representative Associate Specialist

    hace 1 mes

    Ciudad de México, Ciudad de México Fedex Lac A tiempo completo

    About FedEx LacAt FedEx Lac, we're committed to delivering exceptional customer experiences. As a world-class company, we've earned recognition as a great place to work and a technology innovator.Job SummaryWe're seeking an experienced Customer Service Representative Associate Specialist to join our team. In this role, you'll be responsible for providing...

  • Customer Service Associate for Manila Ria

    hace 1 mes

    Ciudad de México, Ciudad de México Ria A tiempo completo

    We are seeking a Customer Service Associate to work at our Manila, Philippines headquarters.**Job Summary:**In this role, you will provide customer support and resolve queries related to transactions. You will review and correct data on incorrectly processed transactions and collaborate with the accounting department to reconcile refunds for cancelled...

  • Customer Experience Associate

    hace 1 mes

    Ciudad de México, Ciudad de México Marriott International, Inc A tiempo completo

    About UsMarriott International, Inc. is a global hospitality leader, operating over 100 award-winning properties worldwide.Your RoleWe are seeking an experienced Customer Experience Associate to join our team at The Ritz-Carlton in San Jose del Cabo, Mexico.Job SummaryThis role will be responsible for delivering exceptional customer experiences and ensuring...

  • Supervisor I, Customer Service

    hace 2 meses

    Ciudad de México, CDMX Avantor A tiempo completo

    **The **Opportunity**: Avantor is looking for a dedicated and experienced Customer Care Supervisor. This role will provide supervision and technical assistance to customer service team to attain departmental and organizational goals. Ensure customer complaints are resolved in a professional manner. Determine work procedures, work schedules, and workflow for...

  • Human Resources Service Associate

    hace 2 semanas

    Naucalpan de Juárez, México Ford Motor Company A tiempo completo

    Job Title: Human Resources Service Associate - Advanced Customer SupportAbout the Role:We are seeking an experienced and skilled Human Resources Service Associate to join our team at Ford Motor Company. As a key member of our HR Shared Service, you will be responsible for providing exceptional customer service in human resources...

  • Customer Experience Associate

    hace 4 semanas

    Ciudad de México, CDMX Royal Holiday A tiempo completo

    Royal Holiday is a worldwide leader in the international travel industry, with over 40 years of experience and more than 80,000 members around the world. We also own and operate the Park Rpyal Hotels and Resorts chain, with 14 locations in Mexico and 4 international locations (Miami, Orlando, Buenos Aires and Puerto Rico). Our business is BOOMING and we are...

  • Customer Service Representative

    hace 2 meses

    Ciudad de México, Ciudad de México Regus A tiempo completo

    About the RoleAs a Community Associate, you will be responsible for delivering exceptional customer service and support to our members. This includes managing the day-to-day operations of our workspace, resolving customer queries and issues, and maintaining a positive and welcoming environment for our community.Key ResponsibilitiesProvide exceptional...

  • Customer Service Associate

    hace 4 días

    México Resideo A tiempo completo

    **JOB DUTIES**: - Processing Returns - Customer Invoicing - Prepare Forecast Reports - Administrative Support - Order Processing **YOU MUST HAVE**: - High School Diploma, or equivalent. - Fluent English **WE VALUE**: - Customer service experience - An ability to learn quickly - An attention to detail - A bias for action - An ability to work in a team -...

  • Customer Service Representative

    hace 1 mes

    Ciudad de México, Ciudad de México Marriott International, Inc A tiempo completo

    Job Summary:">We are seeking a Customer Service Representative to join our team at the JW Marriott Cancun Resort & Spa in Mexico. As a key member of our Rooms and Guest Services Operations team, you will be responsible for delivering exceptional guest service and ensuring that every stay is unforgettable.">About Marriott International:">Marriott...

  • Customer Service Representative Ii

    hace 7 meses

    Lerma de Villada, México Ecolab A tiempo completo

    Job Characteristics:Provides customer service support by processing purchase orders and customer requirements; provides prompt follow-up actions to customer inquiries and issues. Requires decision making skills in resolving customer problems, communicating issues, and maintaining customer data in the order entry and order processing systems. Education/Work...

  • Associate, Customer Support

    hace 7 meses

    Ciudad de México Evo Payments A tiempo completo

    **Associate, Customer Support** **About the role**: As an Associate, Customer Support, you will be part of the dedicated support and retention team to enhance the business experience to protect revenue and turnover. Engage the business proactively and reactively with a focus on driving business satisfaction and generating/saving revenue for the...

  • Customer Service Associate Ii

    hace 5 días

    México Resideo A tiempo completo

    Help Resideo be the customer's top choice by delivering excellent customer care. Build up your business acumen while learning to address customer needs. Be part of the team that is solving complex problems for the customer. **JOB DUTIES**: - Processing Returns - Customer Invoicing - Prepare Forecast Reports - Administrative Support - Order...

  • Sr Customer Service Associate

    hace 6 meses

    México ADI Global Distribution A tiempo completo

    **JOB DUTIES: - Processing Returns - Customer Invoicing - Prepare Forecast Reports - Administrative Support Order Processing **YOU MUST HAVE: - High School Diploma, or equivalent. - Prior experience with advanced usage of the English language inclusive of written and verbal communication. - At least 6 months in a similar Customer service position. Microsoft...

  • Sr Customer Service Associate

    hace 7 meses

    México ADI Global Distribution A tiempo completo

    **JOB DUTIES: - Customer Invoicing - Prepare Forecast Reports - Administrative Support Order Processing **YOU MUST HAVE: - High School Diploma, or equivalent. - Prior experience with advanced usage of the English language inclusive of written and verbal communication. - At least 6 months in a similar Customer service position. Microsoft Excel basic...

  • Customer Service Supervisor

    hace 7 meses

    Ciudad de México Gates Corporation A tiempo completo

    **CUSTOMER SERVICE SUPERVISOR** Are you inspired by challenging the status quo? Do you thrive in collaborative environments that drive results? If so, Gates could be for you. Let's simplify itthink belts and hoses. Found in motorcycles, conveyer belts, cars, tractors, blenders, vacuum cleaners, bicycles, & 3D printers just to name a few. Because why not do...

  • Customer Service Ambassador

    hace 2 meses

    Ecatepec de Morelos, México Ecolab A tiempo completo

    As a valued member of the Ecolab team, you will play a pivotal role in delivering exceptional customer service support. Your responsibilities will include processing purchase orders and customer requirements, as well as providing prompt follow-up actions to customer inquiries and issues.This position requires strong decision-making skills to resolve customer...

  • Customer Success Associate

    hace 6 meses

    Ciudad de México Gigamon A tiempo completo

    Gigamon’s Customer Success Team is responsible for ensuring we provide the highest quality customer experience wherever and whenever our customers need us. The Customer Success Associate is a part of that team and is a key player in helping our customers achieve their objectives. You will walk the path with our customers on their journey to learn, adopt,...

  • Beverage Service Associate

    hace 3 semanas

    Ciudad de México, Ciudad de México Marriott Vacations Worldwide A tiempo completo

    Job Summary:As a Beverage Service Associate with Marriott Vacations Worldwide, you will play a crucial role in delivering exceptional customer experiences by preparing drink orders according to specified recipes. This includes issuing, opening, and serving wine/champagne bottles, setting up and maintaining the cleanliness and condition of the bar, bar unit,...

  • Bilingual Customer Service Associate

    hace 3 meses

    Ciudad de México, CDMX Amex A tiempo completo

    **You Lead the Way. We’ve Got Your Back.** With the right backing, people and businesses have the power to progress in incredible ways. When you join Team Amex, you become part of a global and diverse community of colleagues with an unwavering commitment to back our customers, communities and each other. Here, you’ll learn and grow as we help you create...