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   Current UPMC employees must apply in HR Direct

Customer Service, Health Care Concierge, Associate

Description

UPMC Health Plan has an exciting opportunity for a Health Care Concierge, Associate position in the Government Dental department.  This is a work from home position with offices located in the Steel Tower.  This is a full time position working various shifts including nights and weekends.

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 graduate or Associate, or 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.

   Current UPMC employees must apply in HR Direct