Update Positions.(MST/CST/EST/ in the following states: Arizona. Colorado. Delaware. District of Columbia. Florida. Georgia. Hawaii. Iowa. Kansas. Louisiana. Maryland. Massachusetts. Michigan. Mississippi. Nebraska. Nevada. New Jersey. New Mexico. New York. Ohio. Pennsylvania. Rhode Island. Tennessee. Texas. Washington. Wisconsin. Pay is up to $18.00 per hr
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives.
Bonus For External Candidates
The Customer Service Representative position is full-time based on an anticipated schedule of 35-40 hours per week, Sunday- Saturday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 5:00 am-10:00 pm local time. Standard training days are Monday – Friday 8:00 am to 5:00 pm MST, however, depending on location, training hours could include 7:00 am to 4:00 pm CST OR 9:00 am to 6:00 pm CST. It may be necessary, given the business need, to work occasional overtime.
Primary Responsibilities
Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries
Guide and educate callers on their prescription benefits, use of plan, formulary, premiums, and status of orders and claims or inquiries
Ask appropriate questions and listen actively while documenting required information in computer systems
Identify issues and communicate solutions and steps to customers, pharmacies, and physicians with prescription orders and reorders
Make outbound calls to customers on prescription orders and payment issues
This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to member prescription and /or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction 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 higher) OR equivalent work experience
Minimum of 2+ years of combined education, work, and/or volunteer experience
Ability to work any of our 8-hour shift schedules during our normal business hours of 5:00 am – 10:00 pm local time, Sunday – Saturday
Preferred Qualifications:
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
Customer Service experience
Experience working with digital platforms and systems. Web, Chat, email.
Experience with Adult Learning in a virtual environment
Sign-On Bonus For External Candidates
Primary Responsibilities
Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries
Guide and educate callers on their prescription benefits, use of plan, formulary, premiums, and status of orders and claims or inquiries
Ask appropriate questions and listen actively while documenting required information in computer systems
Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders
Make outbound calls to customers on prescription orders and payment issues
This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to member prescription and /or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction 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 higher) OR equivalent work experience
Minimum of 2+ years of combined education, work, and/or volunteer experience
Ability to work any of our 8-hour shift schedules during our normal business hours of 5:00 am – 10:00 pm local time, Sunday – Saturday
Preferred Qualifications:
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
Customer Service experience
Experience working with digital platforms and systems. Web, Chat, email.
Experience with Adult Learning in a virtual environment
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Must be able to connect directly into the internet – via hardwire (either directly to modem or router)
Sign On Bonus For External Candidates
The Customer Service Representative position is full-time based on an anticipated schedule of 35-40 hours per week, Sunday- Saturday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 5:00 am-10:00 pm local time. Standard training days are Monday – Friday 8:00 am to 5:00 pm EST. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding the next steps including any pre-employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us.
Primary Responsibilities
Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries
Guide and educate callers on their prescription benefits, use of plan, formulary, premiums, and status of orders and claims or inquiries
Ask appropriate questions and listen actively while documenting required information in computer systems
Identify issues and communicate solutions and steps to customers, pharmacies, and physicians with prescription orders and reorders
Make outbound calls to customers on prescription orders and payment issues
As a Senior Customer Service Advocate, you’ll provide our members with the information they need to make better decisions about their health, helping them get access to the right care the first time. Every day, you'll help 50 to 70 callers, in a compassionate and empathetic manner, providing guidance, support, and escalating issues. This is your chance to be sought out as an advisor and advocate to your customer. You have the opportunity to exceed expectations and improve the lives of our customers every day.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00 am – 8:00 pm). It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Handle escalated calls, resolving more complex customer issues in a one and done manner
Demonstrate outstanding service to identify the source of the issue and work to resolve customer inquiries and issues in a timely and professional manner, related to benefits, eligibility and claims, financial spending accounts, and correspondence
Help guide and educate customers about the fundamentals and the benefits to them of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider
Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient
Own problem through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
Provide education and status on previously submitted pre-authorizations or pre-determination requests.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am – 7:00 pm CST. It may be necessary, given the business need, to work occasional overtime. The hours during training will be 8:00 am to 4:30 pm
CST, Monday – Friday.
Primary Responsibilities:
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment, and explanation of benefits (EOBs)
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Own problem through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member
Review and research incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan
documents/certificates)
Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding
Meet the performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction, and attendance.
$750 Sign On Bonus For External Candidates
If you are located within the state of Tennessee, you will have the flexibility to telecommute.
Required Qualifications:
High school diploma / GED (or higher) OR 10+ years of equivalent working experience
All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency in the material
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
1+ years prior experience in an office setting, call center setting, or phone support role
Soft Skills:
Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in a respectful, timely manner, consistently meeting commitments)
Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests and identify the current and future needs of the member
A proficient problem-solving approach to quickly assess the current state and formulate recommendations
Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon
Flexibility to customize the approach to meet all types of member communication styles and personalities
Proficient conflict management skills to include the ability to resolve issues in a stressful situation and demonstrating personal resilience
Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed.
$500 Sign-on Bonus for External Candidates
If you are located within the state of Nebraska, you will have the flexibility to telecommute*
Primary Responsibilities
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue, and provide an appropriate response to the caller
Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
This role is equally challenging and rewarding. You’ll interact with providers with the intent to develop a relationship with them. Within a high-volume setting, you’ll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction 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 higher) OR equivalent work experience
Minimum of 2+ years of combined education, work, and/or volunteer experience.
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
Sales or account management experience
Customer Service experience.
From anywhere within the U.S.
Primary Responsibilities
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue, and provide an appropriate response to the caller
Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
This role is equally challenging and rewarding. You'll interact with providers with the intent to develop a relationship with them. Within a high-volume setting, you'll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers.
Required qualifications:
High school diploma / GED (or higher)
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred qualifications:
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 the current state and formulate recommendations.
from anywhere within the U.S.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00 am – 5:00 pm CST). It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Provide expertise and customer service support to members, customers, and/or providers
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 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 inquires The Associate Service Account Manager 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 a clear direction 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 higher)
3+ years of customer service experience analyzing and solving customer problems
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Must be able to work CST hours
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am – 7:00 pm CST. It may be necessary, given the business need, to work occasional overtime. The hours during training will be 8:00 am to 4:30 pm CST, Monday – Friday.
Primary Responsibilities:
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Own problem through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member
Review and research incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan
documents/certificates)
Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding
Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction, and attendance.
– Remote – $1000 Sign On Bonus
The Customer Service Representative (OptumRx Specialty/Infusion) position is full-time (up to 40 hours/week) Sunday- Saturday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am-9:00 pm local time.
Standard training days are Monday – Friday 8:00 am to 4:30 pm CST however depending on location training hours could include 7:00 am to 3:30 pm CST OR 9:00 am to 5:30 pm CST. It may be necessary, given the business need, to work occasional overtime. Training will be telecommuting from day one.
Primary Responsibilities
Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries
Guide and educate callers on their prescription benefits, use of plan, formulary, premiums, and status of orders and claims or inquiries
Ask appropriate questions and listen actively while documenting required information in computer systems
Identify issues and communicate solutions and steps to customers, pharmacies, and physicians with prescription orders and reorders
Make outbound calls to customers on prescription orders and payment issues
This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to member prescription and /or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction 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 higher) OR equivalent work experience
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Ability to work an 8-hour shift Sunday through Saturday 7:00 am to 9:00 pm CST
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