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Queens, NY, Ronkonkoma, NY Employee reviews here
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders, and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
You push yourself to reach higher and go further. Because for you, it’s all about ensuring a positive outcome for patients. In this role, you’ll work in the field and coordinate the long-term care needs of patients in the local community. And at every turn, you’ll have the support of an elite and dynamic team. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients.
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 – 6:00 pm CST. It may be necessary, given the business need, to work occasional overtime.
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
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 10+ years of equivalent working experience
All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency in the material
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
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 prior experience in an office setting, call center setting, or phone support role
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 – 8:00 pm Monday – Friday. It 8:00 may1:30 pm be necessary, given the business need, to work occasional overtime. We offer 3-5 weeks of paid training. The hours during training will be 6:00 am to 1:30 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:
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 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
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 provide verification you hold the appropriate state licenses at the time an offer is made, and upon hire, you successfully complete our UHC Portfolio Agent New Hire training class, you may be eligible for a $1,000 sign-on bonus.
Leverage your sales experience into a sales career with UnitedHealth Group. As an Inside Sales Representative, you'll answer incoming calls from people interested in purchasing insurance supplements (no cold calling). You'll solicit basic information, answer questions and provide options while serving as a consultant to help the callers select the right plan for their situation and budget. Don’t wait to join us! There’s never been a better time than now to start doing your life's best work.(sm)
Inside Sales Representatives receive a competitive base salary and are eligible to receive bonuses based on sales performance. Our training classes not only prepare you for your role and ensure that you have the tools and resources that you need to be successful, but we will pay for and provide support for you to obtain the required state insurance licenses you need to have.
If you provide verification you hold the appropriate state licenses at the time an offer is made, and upon hire, you successfully complete our UHC Portfolio Agent New Hire training class, you may be eligible for a $1,000 sign-on bonus.
Work Schedule: Monday-Friday 7:00 AM – 9:00 PM, the shift will be provided during training with rotational weekend work.
If you currently reside in the state of Minnesota, you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Answer incoming phone calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately the sale
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Using knowledge of the product portfolio to accurately assess the distinct needs of different prospects, explain the differences between various products, and assist the prospect member in selecting a product that best meets their unique needs
May make outbound calls to prospective members to follow up on questions or to current members to review current or new products and services
Assist the prospect in completion of the enrollment application over the phone with complete, accurate, and required information, consistent with product requirements and enrollment guidelines
Meet the goals established for the position in the areas of sales quota, attendance, and other performance criteria
Meet and maintain requirements for agent licensure, appointments, and annual product certification
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. All new hires will be required to successfully complete the UHC Portfolio Agent New Hire training classes and demonstrate proficiency in the material. the
Required Qualifications:
High School Diploma/GED OR 10 years of equivalent working experience
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
Within 14 days, must obtain all appropriate state insurance licenses (may be completed during training)
Preferred Qualifications:
Sales experience
Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Flexibility to customize an approach to meet all types of caller communication styles and personalities.
Leverage your sales experience into a sales career with UnitedHealth Group. As an Inside Sales Representative, you'll answer incoming calls from people interested in purchasing insurance supplements (no cold calling). You'll solicit basic information, answer questions and provide options while serving as a consultant to help the callers select the right plan for their situation and budget. Don’t wait to join us! There’s never been a better time than now to start doing your life's best work. (sm)
Inside Sales Representatives receive a competitive base salary and are eligible to receive bonuses based on sales performance. Our training classes not only prepare you for your role and ensure that you have the tools and resources that you need to be successful, but we will pay for and provide support for you to obtain the required state insurance licenses you need to have.
If you provide verification you hold the appropriate state licenses at the time an offer is made, and upon hire, you successfully complete our UHC Portfolio Agent New Hire training class, you may be eligible for a $1,000 sign-on bonus.
Work Schedule: Monday-Friday 6:00 AM – 9:00 PM, a shift will be provided during training.
Primary Responsibilities:
Answer incoming phone calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately the sale
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Using knowledge of the product portfolio to accurately assess the distinct needs of different prospects, explain the differences between various products, and assist the prospect member in selecting a product that best meets their unique needs
May make outbound calls to prospective members to follow up on questions or to current members to review current or new products and services
Assist the prospect in completion of the enrollment application over the phone with complete, accurate, and required information, consistent with product requirements and enrollment guidelines
Meet the goals established for the position in the areas of sales quota, attendance, and other performance criteria
Meet and maintain requirements for agent licensure, appointments, and annual product certification
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.
All new hires will be required to successfully complete the UHC Portfolio Agent New Hire training classes and demonstrate proficiency of the material.
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 10 years of equivalent working experience
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
Within 14 days, must obtain all appropriate state insurance licenses (may be completed during training)
Preferred Qualifications:
Sales experience
Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Flexibility to customize the approach to meet all types of caller communication styles and personalities
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families, and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improving their lives that’s second to none. This is no small opportunity. It's where you can do your life's best work. (sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Inside Sales Representatives receive a competitive base salary and are eligible to receive bonuses based on sales performance. Our training classes not only prepare you for your role and ensure that you have the tools and resources that you need to be successful, but we will pay for and provide support for you to obtain the required state insurance licenses you need to have. If you provide verification you hold the appropriate state licenses 7 days prior to your start date, and upon hire, you successfully complete our UHC Portfolio Agent New Hire training class, you may be eligible for a $1,000 sign-on bonus.
Working Schedule: This position is a full-time flex schedule (35 hours/week) with our site Hours of Operation: Monday through Sunday 7:00 AM – 9:00 PM local time. We do require our employees to be flexible enough to work any shift, any day of the week during those hours. The flex schedule typically includes a 32-hour workweek Monday – Saturday during the months of January – September and 40 hours + overtime Monday – Sunday during our sales season of October – December.
There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding the next steps including any pre-employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: http://uhg.hr/OurApplicationProcess
You’ll enjoy the flexibility to temporarily telecommute* from within the Wisconsin area as you take on some tough challenges.
Primary Responsibilities:
Answer incoming phone calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately the sale
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Using knowledge of the product portfolio to accurately assess the distinct needs of different prospects, explain the differences between various products, and assist the prospect member in selecting a product that best meets their unique needs
May make outbound calls to prospective members to follow up on questions or to current members to review current or new products and services
Assist the prospect in completion of the enrollment application over the phone with complete, accurate, and required information, consistent with product requirements and enrollment guidelines
Meet the goals established for the position in the areas of sales quota, attendance, and other performance criteria
Meet and maintain requirements for agent licensure, appointments, and annual product certification
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
Ability to obtain all appropriate state insurance licenses during training
All new hires will be required to successfully complete the UHC Portfolio Agent New Hire 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:
Sales Experience
Soft Skills:
Demonstrated ability to listen skillfully, collect relevant information, determine to need and consult with caller to provide an appropriate product to fit their needs
Flexibility to customize the approach to meet all types of caller communication styles and personalities
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions, and your energy to work in a fast-growing environment. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, the most intensive training program in the industry, and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM
We offer 3-5 weeks of paid training. The hours during training will be 6:00 am to 1:30 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:
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 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.
Bilingual fluency (verbal and written) in Spanish and English
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
Sales or account management experience
Customer Service experience.
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, the 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 (Korean / 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 dis enrollment).
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)
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
Korean / English Bilingual
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)
2+ years of customer service experience in a call center environment
Experience with UNET
Experience with ISET
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.
When you are in the business of health care, you're in the business of people. At UnitedHealth Group we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
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 the flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:00 am – 8:30 pm EST. It may be necessary, given the business need, to work occasional overtime.
Our offices are located at:
77 Water Street, 14th & 15th Floor, New York, NY 10005
136-02 Roosevelt Ave, Flushing (Queens), New York 11354
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 the system for record tracking and issue resolution
Proactively educates members on cover benefits, plan exclusions, and procedures to enhance the 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 productive working relationships 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 of experience in a customer service environment.
Bilingual fluency (verbal and written) in Vietnamese and English
Ability to work an 8-hour shift between the hours of 9:00 am and 8:30 pm EST, Monday – Friday. Set shifts on rotation about 3 – 4 times a year
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
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)
This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future.
We have training classes starting soon to help you build the successful career that you want – 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 UnitedHealth Group. Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. You’ll take as many as 50-70 calls per day from customers who have questions about their health benefits. As their advocate, you’ll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity
UnitedHealthcare is a well-managed company where success is evaluated on numerical metrics as well as core competencies. Successful team members will have a track record of being accountable, communicating with others, and being coachable. Key success measures will also include excellence in customer service and using time and resources efficiently. Benefit advocates will need to work independently and with confidence to resolve member’s challenges.
This position is full-time (40 hours/week) Monday – Sunday. 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 – 10:00 pm CST, 7 days a week). It may be necessary, given the business need, to work overtime. During our peak season (November-March), there is both mandatory and voluntary overtime based on call volume. Our office is located at 5150 Regent BLVD Irving TX 75063.
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:
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, 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 doctor’s offices, pharmacies, and medical groups on behalf of the customer to assist with questions, schedule appointments, and close gaps in care. Make outreaches where necessary to 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 2+ years of combined education, work, and/or volunteer experience.
Proficient in Microsoft Word (sending and receiving information and creating documents) and Microsoft Excel (creating spreadsheets)
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:
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:
It’s crucial that you’re able to handle pressure, let go when you move on to the next call, and let things roll off your back are critical in this environment. To do this you’ll need:
Patience, ability to deal with frustration and maintain a positive attitude even in the face of irate or rude customers
Ability to deliver bad news constructively and empathetically
Compassion and understanding for customers
Overall, the core element of this position is dealing with customers' difficult and confidential health care issues over the phone while documenting the appropriate information on a computer system.
Must be able to adapt to change, learning new computer programs, and remaining coachable.
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, the 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 dis enrollment).
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.
Like you, UnitedHealth Group is strong on innovation. And like you, we’ll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive, and positive for our members and providers. You’ll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you’ll have a chance to make an impact.
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 (10:30 am -7:00 pm). It may be necessary, 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.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Manage administrative intake of members
Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers
Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Handle resolution/inquiries from members and/or providers
This is high volume, customer service environment. You’ll need to be efficient, productive, and thorough in dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.
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)
2+ years of customer service experience
Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Ability to navigate and learn new and complex computer system applications to work any of our 8-hour shift schedules during our normal business hours of (10:30 am -7:00 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:
Experience working within the health care industry and with health care insurance
Experience working in a hospital, physician's office, or medical clinic setting
A clerical or administrative support background
Knowledge of ICD-9 and CPT codes
Experience working in a call center
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 Raleigh, NC, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, the most intensive training program in the industry, and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM
The Clinical Administrative Coordinator supports the LTSS Care Management team with administrative and non-clinical duties essential for the successful delivery of a high-quality care management program. The Coordinator works collaboratively with LTSS Care Managers, provider agencies, social service programs, state Medicaid representatives, and other departments within UnitedHealthcare.
This position operates remotely and will require limited travel.
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 8am – 5pm. It may be necessary, given the business need, to work occasional overtime.
We offer 3-4 weeks of 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:
Assigns and reassigns members to appropriate Care Manager under the direction of the Care Management Supervisor
Monitors member list routinely to assure accurate assignment of all members
Tracks Nursing Facility and Inpatient census data via the Blended Census Reporting Tool (BCRT)
Communicates member Inpatient status to the assigned Care Manager
Updates Member demographic and placement changes in CM system
Assists with administrative/enrollment activities for special programs e.g. disease management, complex case management, behavioral health referrals
Manages incoming communication calls/fax/email/tasking group- members/providers
Assists with outgoing communication (calls/fax/email)
Arrange member appointments w/ Care Manager
Coordinate transportation for members
Follow-up to ensure service utilization, meeting/not meeting needs
Distribute service plans/plan of care, other communication to members/providers
Review service utilization from Electronic Visit Verification (EVV) system, identify potential concerns and communicate with the Care Manager
Assists with facilitating resolution for pharmacy issues
Completes eligibility related activities- enrollment, disenrollment, tracking Nursing Facility census, etc.
Posts member related documents to electronic filing system (shared drive/SharePoint)
Documents all member related activities in Helios/Virtual Health
Reminds members of need to complete Medicaid paper work to maintain eligibility
Utilizes plan software to generate care management reports
Performs other duties/projects as assigned
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)
2+ years of experience working directly with community members, health care providers, and coordinating services related to physical healthcare, behavioral healthcare, pharmacy and/or social determinants of health
2+ years of experience working in electronic health systems
Strong knowledge of local and community-based social service organizations
Proficiency in MS Office – Word, Excel and PowerPoint (ability to create, edit, sort, and send correspondences, spreadsheets, and presentations)
Ability to travel up to 5-10% of the time locally
Ability to work Monday – Friday, 8-hour shifts during core business hours of 7am – 5pm EST, with flexibility to work occasional overtime per business needs
Preferred Qualifications:
Bachelor’s Degree (or higher) in Social Services with 3+ years case management experience (preference includes Medicaid experience, physical, or behavioral health care coordination
Previous experience as an administrative care manager/coordinator in a managed health care environment
Telecommuting Requirements:
Reside within Raleigh, NC
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:
Excellent written and verbal communication skills
Experience working independently, managing multiple and often competing demands
Experience working with multi-disciplinary clinical teams
Experience with collecting and analyzing data and writing reports
Experience working with diverse populations
. Our office is located at 1 East Washington Street, Phoenix, AZ 85004. Work will be 50% onsite once release to work back in the office.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Manage administrative duties of QOC investigations
Work with hospitals, clinics, facilities, and the clinical team to manage requests for medical records for QOC investigations
Process incoming and outgoing requests for medical records and provider investigation responses which can be received by fax, email or hard copy (mail) which may require follow-up phone calls to providers
Assist the clinical staff with setting up documents/triage cases for QOC investigations and sending member and/or provider correspondence as needed
Maintain departmental Excel spreadsheet databases for quarterly reporting
Manage QOC investigations related to single-missed transportation cases
This is a challenging role with serious impact. It’s a fast-paced environment that takes focus, intensity and resilience.
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)
2+ years of clerical or administrative support experience
Intermediate experience with Microsoft Word, Excel (create, edit, save documents and spreadsheets) and Outlook (email and calendar management)
Ability to work an 8-hour shift between the hours of 7:00am – 6:00pm, Monday to Friday including the flexibility to work onsite 50% of the time
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
Preferred Qualifications:
Experience working within the health care industry and with health care insurance
Experience working in a hospital, physician's office or medical clinic setting
Telecommuting Requirements:
Must live within a commutable distance to our Phoenix, AZ site at 1 East Washington Street.
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
In this Health and Social Services Coordinator role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.
If you are located in South Central Houston Metropolitan area, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, lease restrictive level of care
Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
Manage the care plan throughout the continuum of care as a single point of contact
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team
Make outbound calls and receive inbound calls to assess members' current health status
Identify gaps or barriers in treatment plans
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:
Undergraduate degree or equivalent experience
Active RN license in the state of Texas or the ability to obtain upon hire
4+ years of experience working within the community health setting in a health care role
Experience in long-term care, home health, hospice, public health or assisted living
Preferred Qualifications:
Bachelor’s Degree
Background in managing populations with complex medical or behavioral needs
Experience with electronic charting
5+ years of experience working with MS Word, Excel and Outlook
5+ years of experience documenting in an electronic documentation system
Case management experience
Certified Case Manager (CCM)
Experience in discharge planning
Experience in utilization review, concurrent review or risk management
Experience with arranging community resources
Bilingual in Spanish and/or Vietnamese
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