Claims Technician
Seeking candidates who excel in providing exceptional customer service to individuals over-the-phone and enjoy working in a fast-paced call center environment.
The Claims Technician position has two primary functions : to answer incoming customer service calls from the medical community and the public regarding provider enrollment credentialing, and other related information to enroll medical providers into the Medicaid system. The technician responds to phone, electronic, fax, and mail inquiries regarding the status of provider applications, and explains and interprets Medicaid policies, guidelines, benefits, and procedures regarding Medicaid. The Claims Technician is required to be logged into the phone system for up to 7 hours / day and takes between 40 to 60 calls a day. Preference may be given for the following :
- Spanish speaking skills
- prior professional working experience with provider enrollment or credentialing
Why work for the Utah Department of Health and Human Services? In addition to the rich benefits the State of Utah offers, the department offers :
On-site fitness center, for a minimal membership feeUTA Eco Pass, at a discounted monthly rateTeleworking opportunities with a minimum 2 office days per week beginning 04 / 2024.On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 385-382-4012 or firststepschildcareslc@gmail.comIf offered this position, your employment will be contingent upon passing a background check and review. There will be no cost to you for this check. This check will include fingerprinting, which will be available at various DHHS locations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clicking here.
Responsibilities :
Answers customer service calls regarding provider enrollment applications, credentialing, and validations from providers.Enters, retrieves, and / or corrects applications as needed in the PRISM system.Receives, researches and responds to incoming questions or complaints; provides information, explains policy and procedures, and / or facilitates a resolution.Prepares supporting documentation for policy / procedure changes for policy review.Writes or drafts correspondence, reports, documents, and / or other written materials.Qualifications :
Skill and ability to operate a multi-line telephone system and use the telephone in a professional and courteous manner.Ability to use automated software applications such as Microsoft Word, Excel, and the department's MMIS (Medicaid Management Information System).Must have excellent typing and data entry skills.Skill and ability to enter, transcribe, record, store, or maintain information in either written or electronic form.Ability to speak clearly, concisely and effectively; listen to, and understand, information and ideas as presented verbally.Ability to deal with people in a manner which shows sensitivity, tact, and professionalism.Ability to follow written and / or oral instructions.Ability to work independently with little or no supervision.Skill and ability to compile, code, categorize, calculate, tabulate, audit, verify, or process information or data.Ability to handle diverse customers and deal with irate callers; strong interpersonal skills.Ability to review and / or edit documents for accuracy and completeness.Skill and ability to compose and produce reports, documents, and related material.Ability to communicate information and ideas clearly, and concisely, in writing; read and understand information presented in writing.Must have excellent customer services skills.Skill and ability to operate a 10 key numerical pad by touch.Must possess an exceptional work ethic; time and attendance is critical in this position.Supplemental Information :
Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to Utah within 30 days of their start date.This position may currently be a hybrid of both in-office and remote work days. Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time, and for any reason.Risks found in the typical office setting, which is adequately lighted, heated, and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.