The UPMC Health Plan Member Services Team in Erie, PA is currently hiring Customer Service Representatives to be advocates for our members and to proudly wear the badge of UPMC Health Plan.

With a close-knit work environment and a dedicated culture of service excellence, our Member Services Team educates and guides our customers through coverage, claims, and other program inquiries.

UPMC Health Plan has been recognized by J.D. Power and Associates for providing the “Highest Member Satisfaction among Commercial Health Plans in Pennsylvania.” That’s due—in no small part—to the compassionate attention and expert insight that our customers (which include members, providers, and facilities) enjoy each and every time they contact one of our dedicated representatives.

As a Customer Service Representative, you will complete a 6-week training course (8:00 a.m. to 4:30 p.m.), which will equip you to take on even the most complex customer needs.  After training, you will work a variable schedule, depending on assignment, Monday through Friday between the hours of 8 a.m. and 8 p.m., with rotating Saturday shifts.

Apply today to become a Customer Service Representative!

UPMC Health Plan is also hiring Provider Advocates!

We are looking for candidates who have:

• A Spirit of Service
• Customer Focus
• Positive Attitude
• Flexibility
• Reliability

Qualifications of the candidates:

High school graduate or equivalent.
2 years customer service experience or call center experience required.
OR
1 year health insurance call center and claims adjustments experience required.
Keyboard dexterity and accuracy.
Excellent knowledge of medical terminology, ICD-9 and CPT-4 coding.
Excellent knowledge of HMO, POS and PPO plans, coordination of benefits, subrogation and Medicare.
Excellent organizational, interpersonal and communication skills. Competent in MS Office/PC skills.
Detail Oriented.

The Provider Service representative acts as an advocate for Health Plan customers (providers, vendors, facilities, etc.) by providing guidance, interpretation and education on eligibility levels, benefit design, claim status, and various customer related inquires. Responsible for efficient and courteous resolution to verbal and written inquiries to ensure customer satisfaction while maintaining call servicing and quality standards.

Responsibilities of Provider Service Representatives include:

• Interface with customers by telephone or correspondence to answer inquiries and resolve concerns.
• Actively maintain worklist open cutlogs and follow up within the designated time standards.
• Maintain or exceed designated quality standards.
• Identify any area of concerns that may compromise client satisfaction.
• Participate in team meetings, provide ideas and suggestions to ensure client satisfaction and promote teamwork.
• Provide assistance to other departments during periods of backlogs.
• Assist with adjustments in accordance with company policies and procedures. 

  Join us for the 814 Job Fair, Tuesday, September 11, from noon to 4, at Millcreek Mall, in Macy’s concourse.