UCare

PAC Representative

Employer
Location
Minneapolis, Minnesota
Posted
Mar 22, 2017
Closes
Jun 07, 2017
Category
Healthcare
Employment Status
Full Time

Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.

 

ABOUT UCARE

At UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.

WORKING AT UCARE

Working at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do.

PAC REPRESENTATIVE

Position Description

Effectively respond to and manage provider service requests and inquiries by accurately applying knowledge of UCare's business, products, provider business practices and operation.  Successfully influence business results by establishing and maintaining effective provider relationships, ensuring a high degree of productivity and quality.   Build fluency in multiple product lines.

·Answer, resolve, track and document telephone calls to the Provider Assistance Center in a timely and professional manner.  Communicate effectively with internal departments and external customers regarding provider concerns and research and resolve issues as appropriate.  Educate providers on policies and procedures related to our health care programs.

·Research and resolve all provider written inquiries through knowledge of contracts, policies, and procedures.

·Identify trends/issues that emerge in calls/correspondence, and inform Team Lead or Supervisor.  Assist in the development and communication of resolutions to internal staff, as requested.  Identify and recommend process improvements to support positive provider experience.

·Demonstrate and maintain a thorough and complete working knowledge of appropriate UCare information management systems and ACD telephone system.

·Maintain good working relationships and open communication with internal and external customers.

·Attend department and other meetings as requested.

·Other projects and duties as assigned.

Education

High school diploma or equivalent required.  Two-year degree in health related or liberal arts field and medical coding knowledge/certification preferred. 

Required Experience

Minimum of one to two years' experience in a healthcare setting, including:  a physician's office, health insurance/HMO, or other community agency.  Minimum of two years customer service experience required, preference given to candidates with call center experience.  Ability to multi-task and work efficiently in a fast paced environment.

Preferred Experience

A working knowledge of medical claims and/or medical billing processes preferred.  Knowledge of Microsoft office, customer relationship management software and claims systems.

THE UCARE DIFFERENCE

UCare is proud to be a recognized Star Tribune Top Workplace for the 7th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

 

 

 

 


Rewards

Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers. At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
www.ucare.org/careers/
EOE/AA

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