Hiring in the following states. TX, MD, NY, AZ, ME, MN, FL, NE,
Customer Service Representative, Bilingual, SOME ASO HAVE sign-on bonuses
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want – apply today! We provide the support and structure, you provide the interest and motivation
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
Syracuse, NYRemote considered)
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
Preferred Qualifications:
1+ years prior experience in an office setting, call center setting, or phone support role. Click the link to learn more
Work from Home, Bilingual (English / Spanish)
Senior Service Account Managers are responsible for first-level response and resolution of escalated issues with external and internal customers.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Manage overall delivery of benefits and services by providing support and guidance to existing and potential customers to ensure continued membership
Provide expertise and customer service support to members, customers, and/or providers
Identify and resolves operational problems using defined processes, expertise, and judgment
Investigate claim and/or customer service issues as identified and communicate resolution to 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.
Work From Home – $750 Sign On Bonus For External Candidates
Greensboro, NC, Remote considered)
Telecommuting Requirements:
Must Reside within 100 miles of Greensboro, NC; Fedrick, MD; or Cheektowaga, NY
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.
Required Qualifications:
High School Diploma / GED (or higher) OR equivalent work experience
Minimum of 3+ years of combined education, work, and/or volunteer experience
Preferred Qualifications:
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
Sales or account management experience
Customer Service Experience.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work 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:
Performing basic clerical functions with proficient PC skills
Analytical and Researching techniques to identify discrepancies
Reconciling data between systems
Sending correspondence to customers to gather information or provide updates for corrections.
Initiate and assist with developments/changes to increase or change quality and productivity
Working with various types of member correspondence
Inventory control of group transactions.
If you are located in the state of Nebraska, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to the caller’s health, status, and potential plan options. To do this, you’ll need to navigate across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma / GED (or higher) OR equivalent work experience
Minimum of 3+ years of combined education, work, and/or volunteer experience
Preferred Qualifications:
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
Sales or account management experience
Customer Service Experience.
If you are located in the state of Minnesota, you will have the flexibility to telecommute (work from home) as you take on some tough challenges.
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.
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
join Us for Our Customer Service Virtual Job Fair
Wednesday, September 8th, 2021 at 11 am CST
Connect from your smartphone, tablet, or computer to learn more about our exciting
Customer Service opportunities in San Antonio, TX – Dallas, TX – Chico, CA – Buena Park, CA, Los Angeles, CA – Duluth, GA, Flushing, NY, New York, NY – and more!
Register here for the event at: https://uhg.hr/SeptemberCSJobFair
We strongly encourage you to apply in advance of the event if you are interested in this opening. Attendance at the event isn't required to be a candidate for potential employment.
If you are located within 50 miles of Oldsmar or Miami, FL, you will have the flexibility to telecommute* (work from home) 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 (8:00 am – 8:00 pm). It may be necessary, given the business need, to work occasional overtime.
Primary Responsibilities
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide an appropriate response to the caller
Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
Complete the documentation necessary to track provider issues and facilitate the reporting of the overall trend
Work From Home – $750 Sign On Bonus For External Candidates
Phoenix, AZ (Remote considered)
If you are located within the state or Arizona, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Training classes start soon – apply today!
Primary Responsibilities:
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide an appropriate response to 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 be called on to research complex issues pertaining to member prescription and /or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S.
Primary Responsibilities:
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment, and explanation of benefits (EOBs)
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Own problem through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member
Review and research incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan
documents/certificates)
Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding
Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction, and attendance.
Remote – $750 Sign On Bonus For External Candidates
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S.
Primary Responsibilities
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue, and provide an appropriate response to the caller
Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
This role is equally challenging and rewarding. You’ll interact with providers with the intent to develop a relationship with them. Within a high-volume setting, you’ll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers.
$750 Sign On Bonus For External Candidates
If you are located within 100 miles of Greensboro, NC; Fedrick, MD; Cheektowaga, NY, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
Primary Responsibilities:
Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient
This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to the caller’s health, status and potential plan options. To do this, you’ll need to navigate across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
If you are located in 300 Southborough Drive South Portland, ME
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 EST). It may be necessary, given the business need, to work occasional overtime. Our office is located at 300 Southborough Drive South Portland, ME 04106
Primary Responsibilities:
Management of incoming Financial Protection claims and follow-up to claim assignment
Documenting claim data into the claims management system; requesting outstanding information; and analyzing responses.
Provide expertise or general claims support by reviewing, researching, investigating, processing and adjusting claims information
Document appropriate payment or refer claims to investigators for further review
Analyze and identify trends and provides reports as necessary
Consistently meet established productivity, schedule adherence, and quality standards
Provide excellent customer service
Associates will receive calls from internal and external customers verifying coverage and status of benefits.
This position promotes advocacy for the customer and focuses strongly on customer satisfaction.
Computer skills and data input skills are critical to be successful in this position.
Must have a desire to help internal and external customers by being empathetic and demonstrating patience and providing accurate information.
Outgoing and energetic attitude
Good listening skills
Multi-tasking ability
Excellent problem-solving capabilities
Computer experience (must be able to navigate between multiple applications and input data quickly)
Emotional fortitude for high-stress situations.
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