Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.
Let's talk about meaningful work. UnitedHealth Group is always looking for new ways to improve our ability to deliver high-quality care. As part of our clinical support team, you'll help make every contact informative, productive and positive for our members and providers. You'll have a chance to do live outreach, educating members about program benefits and services while also helping to manage member cases. It's truly an opportunity to make an impact on a huge scale. Positions in this function includes managing incoming calls, managing requests for services from members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and authorizations. This function includes intake, notification and census roles. Primary Responsibilities:
Ensures quality for internal and external customers.
Responds to incoming calls for request, both verbal and written.
Identifies and assesses customers needs quickly and accurately.
Solves problems systematically, using sound business judgment.
Places outgoing phone calls to complete follow-up on requests as necessary.
Consistently meets established productivity, schedule adherence, and quality standards.
Work is frequently completed without established procedures.
May act as a resource for others.
May coordinate others activities.
Answering phone calls from members and providers.
Supporting care managers by performing various administrative tasks.
Processing eligibility paperwork.
Ensuring patient information is documented accurately.
Setting up services for members.
High School Diploma / GED required
1+ years of experience in a health care customer service setting using a telephone and computer as the primary instruments to perform job duties
Bilingual Spanish and English
Proficiency within Microsoft Word (creating and editing documents)
Proficiency within Microsoft Excel (filter, sort, create and edit spreadsheets)
Healthcare or Insurance Benefits experience
Knowledge of Medical Terminology / Coding (ICD-9 and CPT)
Experience in a Hospital, physician, or medical clinical environment
Knowledge of Medicare and / or Medicaid
Physical Requirements and Work Environment:
Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Keywords: UnitedHealth Group, UnitedHealth Care, Health care, customer service, bilingual, English, Spanish, Microsoft office
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