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 members.

UST HealthProof is led by individuals with extensive experience in health plans and technology. These leaders possess a startup mindset and foster an environment that nurtures individual growth. You will be supporting our proven core admin solutions and business process-as-a-service (BPaaS) operations to provide transparency, improve operational efficiency, and break down operational barriers to scale and drive strategic growth.

UST HealthProof is looking for a Customer Service Associate III, reporting to the Customer Service Manager. The Customer Service Associate III is responsible for providing exceptional customer service to the UST customers via inbound Call Center Operations. Associate will mentor new call center agents and support the improvement of peers.

Receive and respond to inbound phone calls for customer assistance Respond to outbound phone call requests Document all calls in ticketing and tracking systems Respond to customer inquiries and provide data to customers within required time frames Function 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

You bring:

A full comprehensive understanding of the covered plan benefits Knowledge of physician practice and hospital coding, billing, and medical terminology Take escalated calls and issues as experience dictates Respond to outbound call requests Excellent verbal and written communication skills Attention to detail and problem-solving skills Basic understanding of MS Office applications, especially Word and Excel 3+ years experience in a Healthcare Call Center operations, including Medicare / Medicare Advantage Willingness to learn new skills Team collaborator and peer mentor High school degree required Amenable to working nightshift