Claims Technician

Seeking candidates who excel in providing exceptional customer service toindividuals 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 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 inquires 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 richbenefits the State of Utah offers the department offers:

• On-site fitness center for a minimal membership fee
• UTA Eco Pass at a discounted monthly rate
• Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
• On-site day care centerat the Cannon Health Buildingwith First Steps Day Care - contact for rates and availability or

For more information on the Utah Department of Health and Human Services please clickhere.

If 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 variousDHHSlocations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clickinghere.

• 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.

(includes knowledge skills and abilities required upon entry into position and trainable after entry into position)

• 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 departments 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

• EffectiveJuly 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 positions 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.