The Clearinghouse Support Rep is respo
nsible for assisting customers with the resolution of product questions, including but not limited to: claims (denials and rejections); remittances such as missing remittance or incorrect setup; and account administration through customer portalRespo
nsible for receiving, logging and respo
nding to product application support questions from customers. The position requires written and verbal interaction with customers including insurance organizations, hospitals, physicians and nurses for the purpose of providing product usage or administrative solutio
nsCustomer co
ntact points include but are not limited to telephone and email to log Service Requests which are answered via email and/or outbound calls, as needed. Payer co
ntact may also be necessary at timesActivities include ownership of requests, research, analysis, escalation and customer communication necessary to deliver appropriate resolution to customer inquiriesCustomer Service: Receive, respond and log customer requests in accordance with department and company standards and procedures; Communicate critical customer status and issues to Support leadership as a given situation warrants; Maintain customer relatio
nships and manage customer expectatio
nsCase Management and Communication: Effectively log and manage all cases with attention to the docu
mented service levels. docu
ment progress, and resolution of customer requests in issue tracking system in accordance with department and company standards and procedures; Adhere to escalation procedure and timef
ramesProduct knowledge: Review and analyze ANSI standard files such as but not limited to 837, 266, 277, 835, 270, and 271. Familiarize o
neself with rejection and/or denial clearinghouse and payer codes to properly address related issuesTroubleshooting and Problem Solving: provide customers with application functio
nal and administrative assistance within assigned product area of expertise; Drive to positive outcomes and customer experience; Effectively research and troubleshoot product functio
nal issues within a defined area of expertise
Qualifications:
Graduate of any 4-year course or must have BPO / claims backgroundExperience using a CRM, Issue Management, or problem tracking application is an advantageProblem-solving skills and analytic ability.Positive and proactive customer service attitudeExcellent written and verbal communication skills to provide clear, concise, and correct product, technical, and status informatio
nExcellent time management skill and organizatio
nal skills
At the nexus of business strategy, design and digital engineering, UST unlocks business value through meaningful and sustainable change.
Born digital in 1999, UST began as a California based tech start-up with only 14 employees. Fast forward to 2022, we are one of the largest privately held digital consultancy firms globally, operating in 25 countries with well over USD 1 billion revenue.
We thrive on helping organisations make data driven decisions - to select the right products and technology to innovate and re-imagine their business models - and to design, build and scale meaningful customer experiences.
Let’s build for boundless impact.