Large

Futureproof your health plan operations with scalable, cost-effective, and integrated core admin solutions. Our proven ecosystem and business solutions accelerate consumer centricity while reducing administrative costs.



Science & Healthcare

UST HealthProof

You need strong communication skills, problem-solving abilities, and a customer-focused mindset to assist clients effectively. Previous experience in customer service is a plus.

You will assist customers with inquiries, resolve issues, provide information on products/services, and ensure a positive experience through effective communication and problem-solving skills.

Role Description

Customer Service Associate

Associate II – BPM

Who We Are

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.

We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.

Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.

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 8am-6pm CST USA and will occur related schedules.

The Opportunity


 * Receive and respond to inbound phone calls
 * 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
   
   

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, CPT, HCPCS, ICD-9 and ICD-10.
 * 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
 * Proficiency with MS Office applications, especially Word and Excel.
   
   

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST HealthProof provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Remote

Compensation Range: $35,360-$39,520

Benefits

Full-time, regular employees accrue up to 16 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave. They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company-paid benefits: basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits. Regular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses. Certain regular employees may have the potential for quarterly incentive-based bonuses and or commissions depending on role. Benefits offerings vary in Puerto Rico.

Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.

Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.

Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year).

All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.

What We Believe

At UST HealthProof, we envision a bold future for American healthcare. Our values are the bedrock beliefs our organization holds dear. They not only define what our brand stands for but also serve as a compass guiding every action and decision.

Guiding Principles

These principles illuminate the path of ‘how’ we operate. They detail actions and behaviors we much embody to honor our values and achieve our goals.


 * Simplicity
   
   

Simplifying complexity underlines everything we do—this approach is what makes us unique. We come with an open mind and straightforward approach, cutting our way to the core with measurable and actionable insights.


 * Integrity
   
   

Integrity is our currency to build relationships. We believe in being open and honest. It is only natural when we have nothing to hide. It demonstrates that we are here to do the right thing, no matter who is watching.


 * People-Centricity
   
   

Everything that we do reflects our deep bonds with peers and customers. These aren't mere transactions, but transformational ties. They shape our culture and decisions, affirming that our true value lies in the lives we touch and impact.


 * Leadership
   
   

Taking ownership is about taking initiative, being in-charge and driving things to completion. It’s a brave choice to ‘own’ all aspects of our work, ensuring we take full responsibility for everything we handle.

Mission

A future possible only when health plans are free from administrative burdens so they can truly focus on what matters more – their members’ well-being.

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, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

#Healthproof

#CB

Skills

Healthcare,Call Center,Customer Service



Customer Service Associate - UST HealthProof

United States

&lt;strong&gt;Role Description&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Customer Service Associate&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Associate II – BPM&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Who We Are&lt;br&gt;&lt;br&gt;&lt;/strong&gt;UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.&lt;br&gt;&lt;br&gt;We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.&lt;br&gt;&lt;br&gt;Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.&lt;br&gt;&lt;br&gt;&lt;strong&gt;You Are&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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 8am-6pm CST USA and will occur related schedules.&lt;br&gt;&lt;br&gt;&lt;strong&gt;The Opportunity&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt; Receive and respond to inbound phone calls&lt;/li&gt;&lt;li&gt; Respond to outbound phone call requests&lt;/li&gt;&lt;li&gt; Document all calls in ticketing and tracking systems&lt;/li&gt;&lt;li&gt; Respond to customer inquiries and provide data to customers within a required time frame&lt;/li&gt;&lt;li&gt; Act as liaison between claims department and providers&lt;/li&gt;&lt;li&gt; Research customer claims in the primary payor systems&lt;/li&gt;&lt;li&gt; Ensure highest level of customer service on every call&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What You Need&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt; 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.&lt;/li&gt;&lt;li&gt; Previous Health Care Call Center/Customer Service Experience.&lt;/li&gt;&lt;li&gt; Desired Skills include: Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 and ICD-10.&lt;/li&gt;&lt;li&gt; Experience with UB/Institutional (UB04); Professional (CMS1500) claims and HIPAA-compliant EDI formats for claims related exchanges. Understand CMS guidelines for claims processing.&lt;/li&gt;&lt;li&gt; Must be able to work with minimal supervision.&lt;/li&gt;&lt;li&gt; Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts.&lt;/li&gt;&lt;li&gt; Excellent verbal and written communication skills.&lt;/li&gt;&lt;li&gt; Attention to detail and problem solving skills&lt;/li&gt;&lt;li&gt; Proficiency with MS Office applications, especially Word and Excel.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST HealthProof provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Role Location: Remote&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Compensation Range: &lt;/strong&gt; $35,360-$39,520&lt;br&gt;&lt;br&gt;&lt;strong&gt;Benefits&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Full-time, regular employees accrue up to 16 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave. They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company-paid benefits: basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits. Regular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses. Certain regular employees may have the potential for quarterly incentive-based bonuses and or commissions depending on role. Benefits offerings vary in Puerto Rico.&lt;br&gt;&lt;br&gt;Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.&lt;br&gt;&lt;br&gt;Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.&lt;br&gt;&lt;br&gt;Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year).&lt;br&gt;&lt;br&gt;All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.&lt;br&gt;&lt;br&gt;&lt;strong&gt;What We Believe&lt;br&gt;&lt;br&gt;&lt;/strong&gt;At UST HealthProof, we envision a bold future for American healthcare. Our values are the bedrock beliefs our organization holds dear. They not only define what our brand stands for but also serve as a compass guiding every action and decision.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Guiding Principles &lt;br&gt;&lt;br&gt;&lt;/strong&gt;These principles illuminate the path of ‘how’ we operate. They detail actions and behaviors we much embody to honor our values and achieve our goals.&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt; Simplicity &lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;Simplifying complexity underlines everything we do—this approach is what makes us unique. We come with an open mind and straightforward approach, cutting our way to the core with measurable and actionable insights.&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt; Integrity &lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;Integrity is our currency to build relationships. We believe in being open and honest. It is only natural when we have nothing to hide. It demonstrates that we are here to do the right thing, no matter who is watching.&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt; People-Centricity &lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;Everything that we do reflects our deep bonds with peers and customers. These aren't mere transactions, but transformational ties. They shape our culture and decisions, affirming that our true value lies in the lives we touch and impact.&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt; Leadership &lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;Taking ownership is about taking initiative, being in-charge and driving things to completion. It’s a brave choice to ‘own’ all aspects of our work, ensuring we take full responsibility for everything we handle.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Mission &lt;br&gt;&lt;br&gt;&lt;/strong&gt;A future possible only when health plans are free from administrative burdens so they can truly focus on what matters more – their members’ well-being.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Employment Opportunity Statement&lt;br&gt;&lt;br&gt;&lt;/strong&gt;UST HealthProof is an Equal Opportunity Employer.&lt;br&gt;&lt;br&gt;All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances.&lt;br&gt;&lt;br&gt;UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.&lt;br&gt;&lt;br&gt;#Healthproof&lt;br&gt;&lt;br&gt;#CB&lt;br&gt;&lt;br&gt;&lt;strong&gt;Skills&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Healthcare,Call Center,Customer Service&lt;br&gt;&lt;br&gt;

UST HealthProof

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