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It's always a plus when you are employed with a reputable company, The benefits are great in addition to free training and learning new software skills. I have compiled a list of customer service and claim positions I feel will be a great start for a beginner, advanced, or intermediate-level job seekers. For FAQ, please read employee reviews here
Can work anywhere in the US
Primary Responsibilities:
(While following all PHI and HIPAA guidelines)
Work via an outbound autodialer, contact newly enrolled members as identified by the Basis team to welcome them to our health plans. The primary goal of this interaction is to develop a positive relationship and ensure the member has the information and documentation they need to have a positive experience as our member.
Welcome the member to their respective health plan by verifying key information about the member (home address, Primary Care Physician (PCP) assignment, etc.) and discussing the benefits available through the plan.
Following a call anatomy, connect with the member to establish a trusting relationship and, utilizing job aids and critical thinking skills, assess the barriers that are prohibiting the member from seeking the proper care, and answer members question about benefits.
If Barrier to Care is provider related the agent will assist the member with finding a new doctor and working with the provider’s office to set up a new appointment.
If Member is identified as having an issue meeting basic needs the agent would help connect the member to community resources.
When appropriate, agents would need to escalate members to social or clinical resources for members requiring more specialized support.
Work offline to resolve member barriers to care requiring more research and follow-up with the member to help remove care barriers.
When appropriate, encourage members to appropriately utilize services in an effort to improve the health and well-being of all members. This might include education about the importance of using the Emergency Room (ER) only in true emergencies.
Complete a Health Risk Assessment (HRA) following the UnitedHealthcare national standard HRA.
When possible, correct member information in our databases, including the member’s address, PCP assignment.
When possible, order replacement member materials (ID cards, welcome packets) if a member reports that they have not received them or if the member has had a change of address.
Document member responses and call outcomes in the appropriate system.
Other Duties, as Appropriate and Assigned
Assist with projects and/or assignments designated by the Supervisor or Manager.
Provide input into the development of policies and procedures that affect the program or department. Give input into improving member education strategies and materials.
Actively participate in departmental quality improvement monitoring and other activities to promote the delivery of high-quality services to all customers.
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+ year of call center experience, inbound or outbound
2+ years of experience in customer service
Preferred Qualifications:
Healthcare insurance experience
Clinical, social work or nursing experience background
Experience working in a healthcare / social services environment – clinical or nursing
Medicaid and/or managed care experience with knowledge of community-based programs
Experience working with low-income populations
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.
If you are located in the state of Minnesota, you will have the flexibility to telecommute (work from home)
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). It may be necessary, given the business need, to work occasional overtime.
The primary purpose of this position is three-fold:
Onboarding: Ensuring members understand their personal plan of care and are connected to their provider
Outreach: Helping members access the care they need, based on quality goals through identifying gaps in care, access, and services.
Member Support: Providing high quality escalated member support for tough to solve issues
Those in this role will utilize scripting, call anatomy, and critical thinking skills to welcome members to their plans, understand how their benefits support their health, connect members with providers to deliver health care services, assist members in accessing community services to meet basic needs, and connect members to clinical or psychosocial resources should they need further assistance.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
(While following all PHI and HIPAA guidelines)
Work via an outbound autodialer, contact newly enrolled members as identified by the Basis team to welcome them to our health plans. The primary goal of this interaction is to develop a positive relationship and ensure the member has the information and documentation they need to have a positive experience as our member.
Welcome the member to their respective health plan by verifying key information about the member (home address, Primary Care Physician (PCP) assignment, etc.) and discussing the benefits available through the plan.
Following a call anatomy, connect with the member to establish a trusting relationship and, utilizing job aids and critical thinking skills, assess the barriers that are prohibiting the member from seeking the proper care, and answer members question about benefits.
If Barrier to Care is provider related the agent will assist the member with finding a new doctor and working with the provider’s office to set up a new appointment.
If Member is identified as having an issue meeting basic needs the agent would help connect the member to community resources.
When appropriate, agents would need to escalate members to social or clinical resources for members requiring more specialized support.
Work offline to resolve member barriers to care requiring more research and follow-up with the member to help remove care barriers.
When appropriate, encourage members to appropriately utilize services in an effort to improve the health and well-being of all members. This might include education about the importance of using the Emergency Room (ER) only in true emergencies.
Complete a Health Risk Assessment (HRA) following the UnitedHealthcare national standard HRA.
When possible, correct member information in our databases, including the member’s address, PCP assignment.
When possible, order replacement member materials (ID cards, welcome packets) if a member reports that they have not received them or if the member has had a change of address.
Document member responses and call outcomes in the appropriate system.
Other Duties, as Appropriate and Assigned
Assist with projects and/or assignments designated by the Supervisor or Manager.
Provide input into the development of policies and procedures that affect the program or department. Give input into improving member education strategies and materials.
Actively participate in departmental quality improvement monitoring and other activities to promote the delivery of high-quality services to all 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)
1+ years of call center experience, inbound or outbound
2+ years of experience in customer service
Preferred Qualifications:
Healthcare insurance experience
Clinical, social work, or nursing experience background
Experience working in a healthcare / social services environment – clinical or nursing
Medicaid and/or managed care experience with knowledge of community-based programs
Experience working with low-income populations.
Work from Home$1,500 Sign On Bonus For External Candidates
If you are located within 60 miles of the San Antonio, TX office,
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our shift schedules during our normal business hours of 7:00 am – 10:00 pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 6200 Northwest Parkway, San Antonio, Texas 78249.
We offer 10 weeks of paid training. The hours during training will be 8:00 am to 4:30 pm for the first 6 weeks and after the 6th-week training will be 9:00 am-5:30 pm CST 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:
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
Educate customers about the fundamentals and benefits of consumer-driven health care, guiding them on topics such as selecting the best benefit plan options, maximizing the value of their health plan benefits, and choosing 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 while encouraging and guiding them towards becoming self-sufficient in using these tools
This role is equally challenging and rewarding. You’ll be spending long periods of time on the phone and 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 require fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
To learn more about our Customer Service roles please follow this link to watch a short video. Customer Service Job Preview Video Opens in a new window
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
Bilingual fluency in English and Spanish
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.
$1,500 Sign On Bonus For External Candidates
This position is full-time (40 hours/week) Monday – Friday9:00 employees are required to have the flexibility to work any of our shift schedules during our normal business hours of 7:00 am – 10:00 pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 6200 Northwest Parkway, San Antonio, Texas 78249.
We offer 10 weeks of paid training. The hours during training will be 8:00am to 4:30 pm for the first 6 weeks and after the 6th-week training will be 9:00am-5:30 pm8:00 am CST 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:
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
Educate customers about the fundamentals and benefits of consumer-driven health care, guiding them on topics such as selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing 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 while encouraging and guiding them towards becoming self-sufficient in using these tools
This role is equally challenging and rewarding. You’ll be spending long periods of time on the phone and 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 require fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
To learn more about our Customer Service roles please follow this link to watch a short video. Customer Service Job Preview Video
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
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
If you are located within 60 miles of the Maryland Heights, MO, Frederick, MD, Minnetonka, MN or Richardson, TX office locations, you will have the flexibility to telecommute-$1,500 Sign On Bonus For External Candidates
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the 7:00 pm flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:00 am – 7:00pm) 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
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 providing 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.
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
CLL Success Profile:
Self-Management, Serving Customers, Building Relationships, Growth Mindset, & Delivering Results.
Remote – $1000 Sign On Bonus For External Candidates
Can work anywhere in US
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 6:00am – 9:00pm. 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:
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
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 10+ years of equivalent working experience
All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material
Preferred Qualifications:
1+ years prior experience in an office setting, call center setting or phone support role
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.
$1000 Sign On Bonus For External Candidates
If you are located within the state of Mississippi, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
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 providing 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:
Reside within the state of Mississippi
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.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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 6:00 am – 9:00 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:
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 treal-timeo 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
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 10+ years of equivalent working experience
All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material
Preferred Qualifications:
1+ years prior experience in an office setting, call center setting or phone support role
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 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 demonstrate 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
$1000 Sign On Bonus For External Candidates
If you are located within the state of Mississippi, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Training classes start soon – apply today!
Turn on the news on any night of the week and you’re likely to hear about the changes that are sweeping through our health care system. It’s dramatic. It’s positive. And it’s being led by companies like UnitedHealthcare, part of the UnitedHealth Group family of businesses. Now, you can take advantage of some of the best training and tools in the world to help serve our members by interfacing and solving issues with their health care providers. As part of our Provider Services group, the quality of support you deliver will directly translate into better care for their patients. This is no small opportunity. This is where you can bring your compassion for others while building your career.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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,a 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-volumeproviding 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 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:
Reside within the state of Mississippi
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.
Customer Service Representative – Remote – $1000 Sign On Bonus For External Candidates 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 6:00am – 9:00pm. 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:
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
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 10+ years of equivalent working experience
All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material
Preferred Qualifications:
1+ years prior experience in an office setting, call center setting or phone support role
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.
$1000 Sign On Bonus For External Candidates from anywhere within the U.S
In this role, you play a critical role in creating a quality experience for the callers that you connect with and those that you correspond with.
Every interaction gives you that opportunity to improve the lives of our customers and exceed their expectations. You'll spend the majority of your day responding to calls from our members and helping answer questions and resolve issues regarding health care eligibility, claims, and payments. You'll also spend a portion of your time reviewing, researching, and processing healthcare claims with the goal to ensure that every claim has a fair and thorough review.
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 in respective time zone. 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:
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
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 10+ years of equivalent working experience
All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material
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
Preferred Qualifications:
1+ years prior experience in an office setting, call center setting or phone support role.
$1000 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.
To learn even more about this position and hear from our other Pharmacy Customer Service Representatives, click here to watch a short video: http://uhg.hr/pharmCSRvideo
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
Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
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
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
$1,500 Sign On Bonus For External Candidates.
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 (8:00am to 8:00pm). It may be necessary, given the business need, to work occasional overtime.
This role is primarily working from home. You will need to come into our office 1-2 times per month. Our office is located at 600 Airborne Pkwy, Cheektowaga, NY 14225. Training will be conducted virtually from your home.
What are the reasons to consider working for UnitedHealth Group? Put it all together – performance-based pay, a full and comprehensive benefits program, performance rewards, and a management team who demonstrates their commitment to your success.
When it comes to talent and remarkable individual achievements we are 180,000+ strong. But why do they choose a career path with us? As a Fortune 7 leader, we’ve created an environment that brings out their best in all the ways that make them special. We’ll provide you with a mission and a culture that make the most of it.
*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
Some of our offerings includes:
18 days of Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement – up to $5,250 per calendar year for job-related coursework
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: http://uhg.hr/uhgbenefits
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.
To learn more about our Customer Service roles please follow this link to watch a short video. Customer Service Job Preview Video Opens in a new window
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
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
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