Customer Service Associate I

Customer Service Associate I

Associate I - 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.

We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.

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. The service center will be open from 8 am-6 pm CST USA and will occur related to schedules.

The Opportunity

• Receive and respond to inbound phone calls for customer assistance
• Research customer claims in the primary payor systems
• Act as liaison between the claims department and providers
• Maintain a fully comprehensive understanding of the covered benefits, coding and reimbursement policies, and contracts.
• Document all calls in ticketing and tracking systems
• Perform other duties as assigned or necessary
• Respond to customer inquiries and provide data to customers within a required time frame
• Respond to outbound phone call requests
• Ensure the highest level of customer service on every call

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

• Must be able to work with minimal supervision.
• Some experience in a customer service setting preferred
• Previous Health Care Call Center/Customer Service Experience.
• 1-3+ years of relevant professional experience in Healthcare claims operations or 2-3+ years of relevant experience in a Call Center environment
• Spanish speaking and written language proficiency preferred
• Excellent verbal and written communication skills.
• Proficiency with MS Office applications, especially Word and Excel.
• Attention to detail and problem-solving skills
• High school degree required; Bachelor’s degree preferred

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience.  As required by local law, UST provides a reasonable range of compensation for roles that may be hired in California, Colorado, New York City, or Washington as set forth below.

Role Location: Range of Starting Pay for Role

Remote: $28,000-$42,000

Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits. Depending on the role, some associates may also be eligible for stock options.

What We Believe

We’re proud to embrace the same values that have shaped UST and its subsidiaries 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 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.

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