This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At Optum Workers’ Compensation & Auto No-Fault, we are a people-first organization. People are at the center of everything we do—from the clients and partners we support to the injured individuals we serve. We are committed to delivering exceptional customer service in every interaction, guided by our purpose to create a better industry—one insight, one connection, and one person at a time. Our mission is to make workers’ compensation and auto no-fault simpler, more effective, and better for everyone. As a Customer Service Rep, you will primarily take inbound calls from Pharmacies, Insurance Carriers, and Injured Workers to assist in processing medications related to workers’ comp claims. Your role involves delivering outstanding customer service daily, working compassionately and efficiently to meet required phone metrics, team service level expectations, and serve customers effectively. As part of our Contact Center team, the quality of support you deliver will directly translate into better care for our client’s injured workers. This role is equally challenging and rewarding and provides an opportunity to bring your compassion for others while building your career. Helping create positive customer experiences for providers and our members can drive your sense of impact and purpose. Join us as we improve the lives of millions and start doing your life's best work. Training classes start soon – apply today! This position is full-time, Tuesday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:00am - 8:00pm EST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of paid training. The hours during training will be __am to __pm, Monday - Friday. Training will be conducted virtually from your home. Primary Responsibilities: - Handle inbound and outbound calls and emails with pharmacies, injured workers, case managers, and payers regarding workers’ compensation claims and prescription fulfillment. - Resolve customer inquiries efficiently using multiple systems, with a strong focus on first-call resolution and timely follow-up. - Communicate clearly and professionally to build positive relationships with clients, patients, and pharmacy partners. - Document interactions accurately and manage multiple priorities, including supporting additional business needs as assigned. - Meet performance expectations for efficiency, quality, customer satisfaction, attendance, and policy adherence. - Maintain strict compliance with patient privacy and confidentiality requirements, including HIPAA. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School Diploma / GED OR equivalent work experience - Must be 18 years of age OR older - 1+ years of recent experience in a call center environment - Experience using computer and Windows PC applications, including keyboard and navigation skills, in addition to quickly and easily learning new and complex systems. - Ability to work full-time, Tuesday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:00am - 8:00pm EST. It may be necessary, given the business need, to work occasional overtime. Preferred Qualifications: - Health care experience - Capable of troubleshooting computer issues in a virtual work environment before working with IT support. Telecommuting Requirements: - Ability to keep all company sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy. - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. Soft Skills: - Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner - Skilled in problem solving to quickly assess current state and formulate recommendations - Ability to quickly and easily shift focus as new priorities arise in a fast-paced, continuously changing environment. *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 - $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. The Coding Support Subject Matter Expert (SME) serves as a vital resource within their respective health systems, offering expert level guidance and clarification on coding-related questions and issues. This role supports both coders and providers, ensuring accurate and compliant clinical documentation and coding practices across the organization. The SME uses their extensive knowledge of coding systems (e.g. ICD-10, CPT, HCPCS), payer requirements, and industry standards to respond to inquiries promptly and thoroughly. Additionally, the SME proactively identifies trends, knowledge gaps, or recurring issues that signal the need for broader education or systemic improvements. This role plays a key part in promoting coding accuracy, compliance, and optimal revenue integrity. This position is full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. This will be paid on-the-job training. The hours of training will be aligned with your schedule. Primary Responsibilities: - Serve as a liaison between coding teams and providers, delivering expert guidance to resolve inquiries and concerns - Collaborate with Edits and Denials teams to analyze trends and implement educational initiatives or system edits to address recurring issues - Partner with clinical leadership during the introduction of new services to ensure accurate documentation and coding compliance - Participate in specialty and physician group meetings on a quarterly basis to provide targeted coding education and respond to ad hoc inquiries - Deliver comprehensive coding and documentation training for all newly onboarded providers - Provide annual education to providers on code set updates to maintain compliance and accuracy - Conduct annual provider audits to validate charges and supporting documentation, while identifying potential revenue opportunities - Provide targeted education and follow-up audits for providers who do not meet established quality standards - Perform ad hoc audits in response to client requests or identified concerns - Educate coders and providers on audit findings and emerging trends to promote continuous improvement - Assist coders and/or supervisors as needed on rebuttals for tri-annual audits - Other duties / projects assigned Qualifications - High School Diploma / GED OR equivalent work experience - AHIMA or AAPC coding credentials (e.g., CCS, CPC, RHIT, RHIA) - Must be 18 years of age OR older - 5+ years of coding experience in a healthcare setting with evaluation, Management and experience in one or more of these specialties (Allergy, Audiology, Behavioral Health, Dermatology, Diabetes Management, Endo, ENT, Maternal Fetal Medicine, Neurology, OB/GYN, Occupational Health, Palliative/SNF, Podiatry, Pulmonary/Intensivist/ID Radiology, Urology, Wound) - Understanding of ICD-10, CPT, HCPCS and official coding guidelines - Experience with researching and interpreting complex coding guidelines and payer policies - Detail oriented with critical thinking and problem-solving skills - Ability to work full time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime Preferred Qualifications - Experience with providing coding support or education - Experience with Professional-fee IP surgery Coding - Familiarity with Epic - Knowledge of Medicare and commercial payer reimbursement methodologies - Experience with physician education or clinical documentation improvement (CDI) Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Soft Skills - Exceptional communication skills, both verbal and written Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

The job profile for this position is Customer Service Associate Representative, which is a Band 1 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. The Customer Service Associate Representative provides support to participants, clients, and providers by answering inquiries related to group health benefits and claims payments. The role also includes researching claims, documenting interactions, and assisting team members as needed. Essential Job Functions - Answer telephone calls from plan participants, group contacts, and providers regarding benefits and claims. - Provide clear, accurate, and timely responses to information requests. - Document all calls in Chronolog by summarizing key points of each conversation. - Return messages from designated voicemail boxes. - Read, interpret, and apply plan documents, new amendments, and updates for multiple clients. - Meet with clients as needed to assist with questions about their health benefit plans. - Support team members and cross‑functional partners as requested. - Log faxed claims and enter fax information into Chronolog. - Return misdirected claims to the appropriate provider. - Assist members with navigating the website. - Meet or exceed company standards for quality and production. - Maintain punctual and reliable attendance. - Support claim information research and identification. - Assist with provider record maintenance tasks. - Index claims and correspondence batches. - Complete responsibilities assigned for specific client groups. - Aid in employee training and cross‑training. - Research and prepare refund documentation. Quality Assurance Measurements - Consistently meet or exceed company standards for production, quality, and audit performance. Minimum Education - High school diploma or GED required. Minimum Experience - Basic computer and customer service experience. - Excellent verbal and written communication skills. - Proficiency with PC tools including Windows, Word, and Adobe Acrobat; ability to learn new software. - Minimum typing speed of 45 wpm. - Strong listening skills and attention to detail. - Basic mathematical competency. - High interpersonal skills and the ability to work collaboratively. - Ability to organize and recall large amounts of detailed information. - Capability to read, analyze, and interpret benefit plans, insurance documents, and regulations. - Professional attitude with the ability to project a positive image in all work environments. - Commitment to privacy and confidentiality standards. - Flexibility to work under pressure and meet deadlines. - Strong problem‑solving abilities with professionalism and patience. About Allegiance by Cigna Healthcare Since 1981, Allegiance by Cigna Healthcare has specialized in administering medical benefits, including claims processing, customer service, utilization management, and case management. With a high‑touch approach to member and client service, Allegiance supports some of the nation’s most innovative health benefit strategies. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

• Handle a variety of tasks which will increase in complexity as skills progress • Handle inbound calls from Members, Clients and Facilities • Expect to handle 60 - 80 calls a day and higher volumes on Mondays