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 600,000 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.
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.
UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.
WORKING AT UCARE
Working at UCare is more than 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. Employees join UCare and stay because of the opportunity to have a purpose-driven job.
Our strong culture has established UCare as a Star Tribune Top 200 Workplace for 13 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.
PROVIDER ASSISTANCE CENTER (PAC) REPRESENTATIVE - OCTOBER 10TH START DATE
Work Location: Work from home
The health and safety of our employees, members, providers, and our community is our highest priority. Therefore, all new employees are expected to be fully vaccinated against COVID-19 prior to starting at UCare, subject to limited exceptions such as for a sincerely held religious belief or for medical reasons.
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.
High school diploma or equivalent required. Two-year degree in health related or liberal arts field and medical coding knowledge/certification preferred.
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.
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
The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, 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.
JOB POST DATE: 08/09/2022