You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Work the USA anywhere Pay starts at 15.00 - $30.00 per hour paid training.
This is your chance to take your customer service career to the next level. At Optum, we’re changing the way health care works for the better and we want motivated people like you to join us. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life’s best work.SM
As a Senior Customer Service Representative, you'll compassionately deliver an exceptional experience to between 50 to 70 callers per day, always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support.
You'll also provide support to your team members by serving as a resource or subject matter expert. Both of these are opportunities for you to identify and exceed our customer expectations by committing to and building strong relationships internally and externally. In the end, you’ll know you performed with integrity and delivered the best customer service experience making all your customers and team members feel better because they talked to you.
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 – 5:00 pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 506 E State Pkwy, Schaumburg, IL 60173.
We offer paid training. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers
Handle escalated calls, resolving more complex customer issues in a one and done manner
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
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 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
Meet the performance goals established for the position in the areas of: efficiency, call quality, provider satisfaction, first call resolution, and attendance
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 or GED (or higher)
2+ years of experience in the healthcare/insurance billing industry
1+ years of customer service experience in a call center, phone support role, or medical billing office
1+ years of medical terminology experience
Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
If you need to enter a worksite for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
Associates Degree (or higher)
1+ years of medical coding experience
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts, and correspondence
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient
This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to the caller’s health, status and potential plan options. To do this, you’ll need to navigate 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 3+ years of combined education, work, and/or volunteer experience
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
Telecommuting Requirements:
Reside within the State of Nebraska
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
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
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
Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience, and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation, and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military
Our claims operations, including our Claims Business Process Analysts, are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's fast-paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven, and customer-focused. To put it mildly, there is never a dull moment.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Provide expertise claims support for all related aspects of claim system processes and claim business rule
Ensure data integrity, data security and process optimization by identifying trends and provide reports as necessary
Perform capacity planning and reporting
Oversee all aspects of quality assurance
Create and edit requirements, specifications, cost-benefit analysis, and recommendations to proposed solutions
Facilitate the development of process documentation
Use pertinent data and facts to identify and solve a range of problems within the area of expertise
Investigate non-standard requests and problems, with some assistance from others
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.
Required Qualifications:
High School Diploma / GED (or higher)
1+ years of experience with a claims processing system (COSMOS, PULSE, Universe Systems, and/or Oxford Legacy )
Experience using Microsoft Excel for reporting, tracking, creating and modifying spreadsheets
Experience usiing Microsoft Word to create, edit and save documents
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:
Associates degree (or higher)
Previous Managed Care experience (Medicaid or Medicare)
Proficiency with Microsoft Access (create, edit, format, manipulate data)
Proficiency with Microsoft Visio (ability to create workflow diagrams)
Proficiency with Microsoft PowerPoint (editing documents and presentations using formulas)
Soft Skills:
Ability to manage multiple projects
Our claims operations, including our Claims Business Process Analysts, are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's a fast-paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Provide expertise claims support for all related aspects of claim system processes and claim business rule
Ensure data integrity, data security, and process optimization by identifying trends and provide reports as necessary
Perform capacity planning and reporting
Oversee all aspects of quality assurance
Create and edit requirements, specifications, cost-benefit analysis, and recommendations to proposed solutions
Facilitate the development of process documentation
Use pertinent data and facts to identify and solve a range of problems within area of expertise
Investigate non-standard requests and problems, with some assistance from others
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.
Required Qualifications:
High School Diploma / GED (or higher)
1+ years of experience with a claims processing system (COSMOS, PULSE, Universe Systems, and/or Oxford Legacy )
Experience using Microsoft Excel for reporting, tracking, creating and modifying spreadsheets
Experience usiing Microsoft Word to create, edit and save documents
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:
Associates degree (or higher)
Previous Managed Care experience (Medicaid or Medicare)
Proficiency with Microsoft Access (create, edit, format, manipulate data)
Proficiency with Microsoft Visio (ability to create workflow diagrams)
Proficiency with Microsoft PowerPoint (editing documents and presentations using formulas)
Soft Skills:
Ability to manage multiple projects
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 (8:00am – 8:00 pm). It may be 8:00 amnecessary, given the business need, to work occasional overtime.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
We offer 8 weeks of paid training. The hours during training will be 8:00 am to 8:00 pm Monday-Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities
Answer 50-70 incoming phone calls per day from customers and identify the type of assistance the customer needs
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Contact 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 UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our tools
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
This role is equally challenging and rewarding. You’ll be called on to research complex issues across multiple databases. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you’ll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.
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 years of 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 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
If you need to enter a worksite for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Prior health care 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
Soft Skills:
Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
Proficient conflict management skills to resolve issues in situations stressful situations.
Positions in this function are responsible for providing expertise and a high level of customer service support to our Dual SNP members. This position will provide excellent customer service to members regarding benefits, policies, procedures, and protocols. Direct phone-based customer interaction to answer and resolve a wide variety of inquiries is also an essential part of the position.
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 9:00am – 5:30pm HST. It may be necessary, given the business need, to work occasional overtime.
Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Acts as a dedicated customer service go-to person to assist customers to resolve issues and problems
Outbound calls to Dual SNP members to build relations
Assists members to identify needs and close gaps in care
Follow-up calls to members with a resolution to identify issues in a timely manner
Resolves inquiries related to authorizations, claims, enrollment, and billing
Fulfills material requests for members
Maintains accurate member data, including addresses, phone numbers, and PCP changes
Inputs data in system for record tracking and issue resolution
Proactively educates members on cover benefits, plan exclusions, and procedures to enhance total customer service experience
Performs accountabilities in accordance with established organizational metrics
Identifies trends and continuously makes recommendations to improve processes
Reports issues or problems with members, systems and processes to manager
Assists and involves in member retention projects
Performs other related projects and duties as assigned
Meets established performance standards
Demonstrates the ability to build and maintain productive working relationship with others and contribute as an effective team member
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.
Required Qualifications:
High School Diploma / GED (or higher) OR equivalent work experience
2+ years in a customer service environment
Candidates must be permanently residing in Hawaii
Bilingual fluency (verbal and written) in Chinese (Cantonese AND Mandarin) and English
Ability to work an 8-hour shift between the hours of 9:00am and 8:30pm EST, Monday – Friday. Set shifts on rotation about 3 – 4 times a year
If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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:
Associate's Degree (or higher)
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)
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 phone and walk-in conversation, printers, and floor activities.
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.SM
UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 10, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.
The Bilingual (Spanish / English) Senior Customer Service Representative is responsible for handling all incoming Billing and Eligibility phone calls and for serving as the primary customer interface for departmental inquiries.
Positions in this function are responsible for providing expertise and customer service support to members, customers, and/or providers. Direct phone-based customer interaction to answer and resolve a wide variety of inquiries.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Ensures quality customer service for internal and external customers.
Responds to incoming customer service requests, both verbal and written (calls, emails, chats).
Identifies and assesses customers' needs quickly and accurately.
Solves problems systematically, using sound business judgment.
Partners with other billing and eligibility department representatives to resolve complex customer service inquiries.
Monitors delegated customer service issues to ensure timely and accurate resolution.
Applies appropriate communication techniques when responding to customers, particularly in stressful situations.
Informs and educates new customers regarding billing / invoicing set up and billing/payment procedures.
Places outgoing phone calls to complete follow-up on customer service requests as necessary.
Responds to customer service inquiries in writing as necessary.
Processes member terminations (i.e. phone disenrollment).
Establishes and demonstrates competency in eligibility, billing and receivable systems and associated applications.
Implements customer service strategies and recommends related improvements/enhancements.
Maintains timely, accurate documentation for all appropriate transactions
Makes corrections and adjustments.
Consistently meets established productivity, schedule adherence, and quality standards.
Proactively seeks to further develop billing and accounts receivable competencies.
Keeps management abreast of all outstanding issues.
Adapts procedures, processes, and techniques to meet the more complex position requirements.
Participates in load balancing.
Addresses special (ad-hoc) projects as appropriate.
Seeks involvement in continuous quality improvement initiatives.
Ensures quality customer service for internal and external 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)
Spanish / English Bilingual
2+ years of customer service experience analyzing and solving customer problems
2+ years of basic proficiency with Windows PC applications which includes the ability to learn new and complex computer system applications
Must be available to work evenings, nights, and weekend shifts
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
If you need to enter a worksite for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
Some College or higher
Experience with UNET
Experience with ISET
2+ years of customer service experience in a call center environment
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 .
6 months paid traning
We offer 6 months of paid on-the-job training. The hours during training will be 8:00am to 5:00pm, Monday – Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities
Interact with customers to gather support data to ensure invoice accuracy and also work through specific billing discrepancies
Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function
Educate customers regarding the availability of receiving invoices and remitting payments through online applications
Monitor outstanding balances and take appropriate actions to ensure clients pay as billed
Manage the preparation of invoices and complete reconciliation of billing with accounts receivables
What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.
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.
Required Qualifications:
An education level of at least a High School Diploma / GED (or higher) OR equivalent years of working experience
Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
Ability to work a 40 hour schedule within the operating hours of the site
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 of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Previous experience in billing or collections
Soft Skill:
Ability to multi-task and to understand multiple products and multiple levels of benefits within each product
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