Description
UPMC Health Plan has an exciting oppoirtunity for a Health Care Concierge, Associate position in the Member Services Department. This is a full time position working Monday through Friday 8:30 a.m. to 5:00 p.m. This position will support the University of Pittsburgh office of Human Resources. This will be a work from home position, but must be located in the Pittsburgh area.
The Health Care Concierge, Associate services complex health insurance products across our lines of business & acts as an advocate for Health Plan customers (member, provider, facilities, etc.) by providing guidance, interpretation, and education on benefit coverage levels, claims payment and various program inquires.
Responsibilities:
- Ability to understand and effectively communicate information regarding a product line or function including benefits and claims information.
- Remain current on all departmental policies, procedures, plan benefit designs, and modifications.
- Provide exemplary customer service by being proactive and responsive to all UPMC Health Plan customer requests.
- Conduct outbound service calls in accordance with departmental initiatives.
- Investigate inquiries from UPMC Health Plan customers.
- Follow up on and document actions required to service inquiry from UPMC Health Plan members, prospective members and providers.
- Service and Document inquires in accordance with UPMC Health Plan Customer Service Center quality guidelines.
- Attend all member service meetings, trainings and power summits as scheduled.
- Service product lines of business to meet member and department needs.
- Manage multiple member inquiries across interaction types including telephonic, fax, online, chat, web messages and email.
- Drive First Call Resolution on every inquiry by completing all necessary outreach calls on behalf of the member.
- Answer and investigate incoming inquiries from UPMC Health Plan members, prospective members and providers.
Qualifications
- High school diploma or equivalent required.
- College degree preferred.
- Minimum of 2 years of customer service and/or call center experience.
- Proficient in typing required.
- Proficient writing skills required.
- Ability to make independent decisions required.
- Knowledge of Microsoft Office and Excel spreadsheet program preferred.
- Complex analytical skills necessary to evaluate customer inquiries.
- Demonstrates good organizational skills.
- A desire to help others and portray empathy in all situations.
- Ability to learn complex health plan information.
- Demonstrate flexibility and motivation to learn & grow in the position.
- Flexibility in work schedule.
Licensure, Certifications, and Clearances:
UPMC is an Equal Opportunity Employer/Disability/Veteran
Total Rewards
More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.
Our Values
At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.