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UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes, and experiences. Read employee reviews, salaries, and benefits here
Minneapolis, MN,
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.
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 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) OR equivalent work experience
4+ years of customer service experience analyzing and solving customer problems
Proficiency with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Soft Skills:
Ability to multi-task including the ability to understand multiple products and multiple levels of benefits within each product
Telecommuting Requirements:
Residing within Minneapolis, MN
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
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Handle inquiries, concerns, complaints, grievances and appeals in a professional manner by listening to the member and showing respect. When appropriate, the representative takes action to resolve complaints to ensure member retention and satisfaction by following department guidelines or contacts immediate supervisor for intervention
Educate members, customers (internal / external) while effectively promoting Peoples Health products, services, and policies on the telephone as well as face – to – face communication
Act in accordance with Peoples Health vision and values. Participate and support development programs, active in staff meetings, and performs company educational offerings as well as demonstrate the willingness to work as a team member when needed for additional tasks to ensure excellent service
Ensure that supplies are sufficient to perform their duties, maintain equipment in proper place after usage and maintain the workspace in an orderly fashion
Act as an efficient liaison for the member and effectively documents 100% of their communication in the service module achieving a clear link between subject line, category, subcategory and free text
Handle requests as needed for transportation to participating providers and return trip requests
Properly utilize the transportation database
Generate denial letters when needed. When requested, prepare daily schedules for vendors and reporting requirements.
Familiarize with standard healthcare concepts, practices, and procedures as they relate to claims adjudication and managed care
Complete special assignments in an accurate and efficient manner with little intervention from management
Grand Junction, CO
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
Required Qualifications:
High School Diploma / GED (or higher) OR equivalent years of 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
Bilingual fluency in English and in Spanish
Telecommuting Requirements:
Reside within Grand Junction, CO
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
Greensboro, NC-San Antonio, TX
$1,500 Sign-on Bonus for External Candidates
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.
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:
Must live within a 60 mile radius from Greensboro, NC or San Antonia, TX
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
$2,000 Sign-On Bonus for External Candidates-= Ability to work in Hawaiian Time Zone (HST Hours)
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 closing 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
Input’s 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 the 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 a 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 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
2+ years in a customer service environment
Bilingual fluency (verbal and written) in Chinese (Cantonese AND Mandarin) and English
Ability to work in Hawaiian Time Zone (HST Hours)
Ability to work an 8-hour shift between the hours of 9:00 am – 5:30 pm, HST
Work From Home Omaha, NE
$1000 Sign On Bonus For External Candidates
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 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.
Flexibility to work any of our 8-hour shift schedules during our normal business hours of 7am – 6pm CST
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
Work from homeKingsport, TN
$1000 Sign On Bonus For External Candidates
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 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 years of 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
Cheektowaga, NY
$1,500 Sign On Bonus For External Candidates
Required Qualifications:
High School Diploma, GED, or equivalent work experience
Minimum of 3+ years of combined education, work, and/or volunteer experience
Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
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 in the state of New York within 120 miles of Cheektowaga, NY including the ability to come into the office 1-2 times a month
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.
Telecommute in MA
If you are located in the state of Massachusetts, you will have the flexibility to telecommute* as you take on some tough challenges. You may work in one of our Massachusetts offices or telecommute from your residence in the state of Massachusetts.
Primary Responsibilities:
programs and processes that build/nurture positive relationships between the health plan, providers and practice managers
Recommend improvements in processes
Collect and ensure the quality and integrity of data in the provider data systems
Performs audits and analyses of activity that can be used for internal and/or external discussions
Monitor and track provider issues through calls, emails, and other avenues
Other duties as assigned in support of goals and objectives
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 G.E.D.
5+ years of health care / managed care experience
3+ years of provider relations and/or provider network experience
Intermediate level of proficiency in claims processing and issue resolution
Proficiency with MS Word, Excel and PowerPoint
Preferred Qualifications:
Undergraduate degree
Optical / Vision industry experience
If you are located within Milwaukee, WI, you will have the flexibility to telecommute*
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 UnitedHealth Group. Now, you can take advantage of some of the best resources and tools in the world to help serve our members. You’ll play a leadership role in a high volume, focused, and performance-driven call center where the goal is always to connect with members and enhance the customer experience. This is no small opportunity.
We offer 3 weeks of paid training. The hours during training will be 8:00 am to 5:00 pm, Monday to Friday.
Training will be conducted virtually from your home.
This position is full-time (40 hours/week) Monday to 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 or weekends.
*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 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.
Primary Responsibilities:
Assist in end-to-end provider claims and help enhance call quality
Assist in efforts to enhance ease of use of physician portal and future services enhancements
Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers
Support development and management of provider networks
Help implement training and development of external providers through education programs
Identify gaps in network composition and services to assist network contracting and development teams
Are you ready for a challenge? You'll be part of a performance-driven, fast-paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.
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
2+ years of provider relations and/or provider network experience
Proficiency with MS Word, Excel, PowerPoint, and Access
Preferred Qualifications:
2+ years dental office experience – billing, office management
1+ years of experience with Medicaid regulations
Intermediate level of proficiency in claims processing and issue resolution
Telecommuteou'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Accountable for monitoring network accessibility and remediating gaps
Accountable for resolution of escalated issues related to network providers and enhancing provider experience as measured by NPS
Representing the vision business to various levels of stakeholders (senior leaders and individual contributors) at OptumServe
Accountable for execution of provider training and education programs
Contribute to design and implementation assist in end-to-end provider claims and help enhance call quality
Conduct Provider contract review and system auditing for correct contract configuration
Coach, provide feedback and guide others
Assist in efforts to enhance ease of use of physician portal and future services enhancements
Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers
Help implement training and development of external providers through education programs
Identify gaps in network composition and services to assist network contracting and development teams
Work well cross-functionally with Clinical, Sales and other health plan and national departments in problem resolution and provider/customer satisfaction and growth
In this role, you’ll be part of a performance-driven, fast-paced organization that is serving multiple markets. You’ll have frequent interactions with senior management and physicians as you communicate about ways to evolve ongoing processes and programs.
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 equivalent experience
5+ years of health care/managed care experience
3+ years of provider relations and/or provider network experience
1+ years of experience with Medicare and Medicaid regulations
Intermediate level of proficiency in claims processing and issue resolution
Intermediate level in MS Word, Excel, PowerPoint, and Access
Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance
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