Remote positions in; customer service representative, Claims, Advocate, Coordinators.
The world is a more interesting place when you can see it through someone else’s eyes. Bring your empathy and compassion to a role that will bring out your best every day. UnitedHealthcare, part of the UnitedHealth Group family of businesses, can provide you with some of the best training and tools in the world to help build relationships and 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. Join us and discover how you can take your career to a new level. Read employee reviews here
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.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 6:00 AM – 8:00 PM PST. It may be necessary, given the business need, to work occasional overtime.
We offer 3 – 5 weeks of training. The hours during training will be 6:00 AM – 2:30 PM PST from Monday – Friday. Training will be conducted virtually from your home.
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.
$2,000 Sign-On Bonus for External Candidates
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 9:00 am – 5:30 pm, HST. It may be necessary, given the business need, to work occasional overtime.
Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Acts as a dedicated customer service go-to person to assist customers to resolve issues and problems
Outbound calls to Dual SNP members to build relations
Assists members to identify needs and 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 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 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
If you are located within 120 miles of Hooksett NH, Shelton CT, or San Antonio TX, 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 flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 6:00 pm EST. It may be necessary, given the business need, to work occasional overtime. Training will be Virtual.
rimary Responsibilities
Answer incoming phone calls from our health insurance consumers (i.e. plan members, family members on the plan) and identify the type of assistance needed to address their concerns and answer their inquiries.
Route applicable requests to rectify issues with claims, benefits, pharmacy, enrollment and authorizations.
Ensure consumer satisfaction by delivering a high quality of customer service and following through to resolve issues.
Identify, anticipate and resolve additional issues to better serve the consumer and eliminate possible needs for future calls.
This role is equally challenging and rewarding. You’ll be on the phone for long periods of time interacting and empathizing with our consumers with the intent to identify their complete needs, ensure they have confidence in the solution, and verify they have a full understanding of what next steps need/will transpire. Within a high-volume setting, you’ll need to develop knowledge of our various systems and numerous types of benefits within each product in order to best assist our 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
1+ years of experience with customer service OR experience in a medical office, health care, call center, or office setting analyzing and solving customer problems including the use of conflict management skills and resolving stressful situations
Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 6:00 pm EST
$1,500 Sign-on Bonus for External Candidates
If you are located within a 60-mile radius from Greensboro, NC, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
8-hourThis 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 am – 9:30 pm Mon – Fri (8 hour shift) EST or 7 am – 10 pm Mon – Fri (8-hour shift) CST
*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.
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
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
If you are located in Waltham, MA,
This position is full-time (40 hours/week) Monday – Friday. Our normal business hours are 8:00 am – 4:30 pm. It may be necessary, given the business need, to work occasional evenings. Our office is located at: 950 Winter Street, Waltham, MA
Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Provide exceptional customer service
Act as a Subject Matter Expert for other team members
Manage the intake of members or the admission/discharge information post notification
Work with hospitals, members, facilities, and the clinical team to manage ,requests for services and any additional support required.
Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
Resolve inquiries from members and/or providers
Receive care coordination notification cases for non – clinical assessment/intervention and provide appropriate triage
Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Process and distribute custom reports to providers and clinical staff
Multitasking with multiple platforms and applications
Receive care coordination notification cases for non – clinical assessment/intervention and provide appropriate triage
Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
Process and distribute custom reports to providers and clinical staff
Multitasking with multiple platforms and applications
Part of the challenge here is dealing positively with members and providers in sometimes challenging circumstances. As a subject matter expert, you’ll also be the “go-to” resource for information. The flexibility to work evening hours will also be required.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma / GED (or higher)
1+ years of experience using the telephone and computer as primary instruments
1+ year of healthcare administration and/or business administration experience
1+ year experience working with Medicaid Services
1+ year experience in a hospital, physician's office, OR medical clinic setting
Experience using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management)
Must live within a one hour commute of the Waltham, MA if residing outside the state of MA
Ability to work Monday – Friday, 8:00 am – 4:30 pm with the flexibility to work some evenings (EST)
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), 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.
from anywhere within the U.S.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work 8-hour shift schedules during our normal business hours of 6:00 am to 6:00 pm candidate’s local time zone. It may be necessary, given the business need, to work occasional overtime or weekends.
We offer 12 weeks of paid training. The hours during training will be 8:00 am to 4:30pm CST Monday – Friday.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Provide general claims support by reviewing and processing claims
Calculate other insurance and benefits
Participate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvements
Consistently meet established productivity, schedule adherence, and quality standards
This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim.
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)
Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
Experience using Microsoft Word (ability to create, edit, save and send documents) and Microsoft Excel (ability to create, edit, save and send spreadsheets)
1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Must be able to train for the entire 12 weeks, Mon- Fri during the hours of 8:00 AM – 4:30 PM Central Time
Must be able to work an eight-hour shift between the hours of 6:00 AM and 6:00 PM (candidate’s local time)
Preferred Qualifications:
Basic understanding of healthcare claims including ICD-9 and CPT codes
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.
from anywhere within the U.S.
The Employer Installation Specialist is responsible for the installation of assigned accounts. This position is responsible for overall employer contract loading using various databases and/or source documents. You may research installation issues and develop customer-specific resolutions. This also may include auditing contract loads for adherence to quality measures and reporting standards.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:00am – 4:00pm.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Handling Electronic Eligibility Files and supporting the UMR Enrollment System
Work directly with external and internal customers including vendors
Responsible for analyzing system, manual, and workflow processes and making appropriate recommendations for improvement
Manage improvement from recommendation to completion, by creating specifications, test plans, working with the IT area, testing, production review and implementing new procedures or training materials
Loading and support of all eligibility files for new and existing customers for UMR
Handles outgoing eligibility files for ID card, pharmacy vendors and many other vendors
This position supports the Enrollment System and process and all projects supporting this system, which include: mandates including the HIPAA 834 and 270 / 271 Transactions
Installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials
Positions are responsible for overall employer contract loading using various databases and / or source documents
May research installation issues and develop customer specific resolutions
May include auditing contract loads for adherence to quality measures and reporting standards
Analyzes and investigates
Provides explanations and interpretations within area of expertise
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)
Experience working with process improvement teams
Ability to work Monday – Friday, 8:00 am – 5:00 pm, flexible hours with overtime on weekends and throughout the week
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 within 75 miles of Metairie, LA,
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours 8:00 AM – 8:00 PM CT from Monday – Friday (will start 8:00 AM – 5:00 PM, October – March 7 days/week). 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:
Handles 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
Educates members, customers (internal/external) while effectively promoting Peoples Health products, services, and policies on the telephone as well as face – to – face communication
Acts in accordance with Peoples Health vision and values. Participates and supports development programs, active in staff meetings, and performs company educational offerings as well as demonstrating the willingness to work as a team member when needed for additional tasks to ensure excellent service
Acts 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, sub – category and free text
Knowledgeable on transportation benefits and escalate member complaints
The Representative must become familiar 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
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 in a call center OR office environment
1+ years of healthcare experience
Basic computer navigation skills with experience in a Windows environment
Proficiency with Microsoft Office Suite including Microsoft Excel (enter information, save files, and navigate through worksheets), Microsoft Word (create documents), Microsoft Outlook (organize emails)
Ability to work an 8-hour shift between the hours of 8:00 AM – 8:00 PM CT from Monday – Friday (will start 8:00 AM – 5:00 PM, October – March 7 days/week) including the flexibility to work occasional overtime, weekends, and holidays based on business need
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:
Amisys experience
Bilingual skills in English and Spanish
Telecommuting Requirements:
Reside within 75 miles of Metairie, LA
Must be willing to travel into the Metairie office on occasion for training
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.
from anywhere within the U.S.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:00 am – 6:00 pm). It may be necessary, given the business need, to work occasional overtime and weekends.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Update claim information based on research and communication from member or provider
Complete necessary adjustments to claims and ensure 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)
Learn and leverage new systems and training resources to help apply claims processes/procedures
This is a challenging role with serious impact. You’ll be providing a high level of support and subject matter expertise within a fast-paced, intense and high-volume claims operation where accuracy and quality are essential. Multitasking in this role is required to conduct data entry and rework, analyzing and identifying trends as well as completing reports daily.
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
1+ years of experience in a claims processing using the UNET system
Demonstrated ability in using a computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs
Preferred qualification:
Claims adjustment 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.
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