UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Call Center Representative
Location
United States
Posted
5 days ago
Salary
$20 - $36 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Call Center Representative
UnitedHealth Group
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. You’ll play a lead role in a high volume, focused and performance driven call center where the goal is always to connect with members and enhance the customer experience. This is where you can bring your compassion for others while building your career. This position is full-time, Monday - Friday. Employees are required to have flexibility to work during our normal business hours of 8:00 am - 5:00 pm EST. This will be on the job training and the hours during training will be during normal business hours. Primary Responsibilities: - Provide expertise and customer service support to long-term care providers and members - Serve as the liaison to a complex customer base to manage first level response and resolution of escalated issues with external and internal customers - Identify and resolve operational problems using defined processes, expertise and judgment - Investigate claim, prior authorization, enrollment and revalidation and/or customer service issues as identified and communicate resolution to customers - Provide feedback to team members regarding improvement opportunities This role is equally challenging and rewarding. Within a high-volume environment, you’ll need to model and act as an ambassador for the company while solving complex health care inquiries. The Call Center Representative acts as a customer advocate to resolve escalated and complex issues. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - High School Diploma / GED - Must be 18 years of age OR older - 2+ years of healthcare customer service experience analyzing and solving customer problems - 1+ years of medical claims (reviewing/processing) experience - 1+ years of working in a call center environment or experience managing heavy call volumes - Knowledge reviewing medical codes (CPT, HCPCS, and/or ICD-10) - Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications - Ability to work Monday - Friday, 8:00 am - 5:00 pm EST Requirements - Experience with Medical Prior Authorizations 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 - Ability to multi-task including ability to understand multiple products and multiple levels of benefits within each product Benefits - Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements) - Hourly pay for this role will range from $20 - $36 per hour based on full-time employment 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. Company Description 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. 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.
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