Founded in 1978, Universal Health Services, Inc. (UHS)* is one of the nation's largest and most respected healthcare management companies, operating through its subsidiaries-acute care hospitals, behavioral health facilities and ambulatory centers nationwide. With more than 74,000 people employed by UHS subsidiaries, UHS's business strategy is to continue to grow by building or purchasing healthcare facilities across the country, while continuing to strengthen UHS's well-reputed franchise with its customary exceptional service and effective cost control. Our success is driven by a service philosophy based on integrity, competence, compassion, and a responsive management style. UHS has been recognized as a Fortune 500 company and is listed as one of Fortune's Most Admired Companies. UHS's Acute Care Division is comprised of 25 high performing hospitals and several ambulatory care facilities across the nation and prides itself on providing superior patient care.
Prominence Health Plan, established in Reno in 1993 as St. Mary's Health Plan, was acquired in 2014 by Universal Health Services (UHS), one of Fortune Most Admired Companies.
In addition to the HMO, Prominence Health Plan also offers Point of Service health plans, a preferred health insurance company that offers Preferred Provider Organization (PPO) health plans, and CDS Group Health, a third-party administrator.
We are a fast-growing, rapidly-changing healthcare organization offering the excitement of a start-up with the support of a Fortune 500 company. We are looking for talented, enthusiastic people to help shape the future of our organization.
Job Summary: The Customer Service Resolution Specialist acts as a liaison between members, providers, claims, enrollment, utilization management and customer service department. The Resolution Specialist assists with escalated member issues by providing research and follow up to the involved parties. Prepares and tracks call monitoring measurements. Also responsible for processing and responding to written member complaints and appeals. Supports Manager & Supervisor of Enrollment and customer service representatives to resolve escalated issues, and assigned special projects