Position Description:
When you are in the business of health care, you're in the business of people. At UnitedHealth Group we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
Primary Responsibilities:
- Respond to incoming provider and enrollee calls
- Resolve customer service inquiries which could include:
- Enter notifications, Providers status of an existing notification and determining if notification is required.
- Complete notification wizard along with ICD-9 and CPT coding
- Provide excellent customer service to both providers and enrollees
- Assist with faxes and emails
- Job will encompass all areas of intake for Long Term Care as well as ongoing collaboration with health plan personnel.
- Build authorizations in UHC systems.
- Make outbound calls to providers for acquiring all required clinical documentation as specified.
- Collaborate with Service Coordinator staff
- Assign specific authorizations to Prior Authorization staff
- Process referrals for TMHP services
- Correct authorizations based on a daily error report
- Provide clear and accurate documentation
- Accurately fax authorizations to providers
- Receive incoming calls from a queue of members or providers.
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