TX,AZ,CT,FL,MN, NY,MD,CA,NM,TN,NV,WI,AR,NC, WI,IN, CO,
Hiring Customer Service Advocates and Customer Service Representatives.
We are committed to introducing innovative approaches, products, and services that can improve personal health and promote healthier populations in local communities; Our core capabilities in clinical care resources, information, and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits. As a result, we help build a more robust, higher-quality health system that is sustainable for the long term.
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If you are located within the state of Missouri, Maryland, Kansas, Iowa, Wisconsin, Texas, Minnesota, or Nebraska.$1,000 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 (7:00 am – 7:00 pm) CST. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue, and providing an appropriate response to the caller
Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
This role is equally challenging and rewarding. You’ll interact with providers with the intent to develop a relationship with them. Within a high-volume setting, you’ll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma / GED (or higher) OR equivalent work experience
Minimum of 2+ years of combined education, work and/or volunteer experience.
Preferred Qualifications:
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations)
Sales or account management experience
Customer Service experience
Telecommuting Requirements:
Reside within the state of Missouri, Maryland, Kansas, Iowa, Wisconsin, Texas, Minnesota, or Nebraska
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
Anywhere within the U.S.
Primary Responsibilities:
Provides premium-level service, removing burdens and providing end-to-end resolution for members. This includes, but is not limited to: Clinical, Financial Decision Support, Behavioral Support, Claims inquiries, and more
Provide a single point of contact for the member for highly designated or dedicated UHC national or key account insurance plans
Respond to and own consumer inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims, financial spending accounts, correspondence, OptumRx Pharmacy, Optum Behavioral Health, and self-service options
Own problem through to resolution on behalf of the member in real-time or through comprehensive and timely follow-up with the member
Educate members about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being so they can select the best benefit plan options and maximize the value of their health plan benefits
Advocate and intervene with care providers (doctor’s offices) on behalf of the member to assist with appointment scheduling, billing concerns, and coverage determinations
Assist the member with resolution as their advocate with 3rd party vendors
Assist members in navigating myuhc.com and other UnitedHealth Group websites or applications utilizing remote desktop system capabilities
Communicate and keep consumers informed through the means in which they prefer, i.e. Phone Call, secure messaging, e-mail or chat
Research complex issues across multiple databases and work with support resources to resolve member issues and/or partner with others to resolve escalated issues.
Meet the performance goals established for the position in the areas of conversation effectiveness, call quality, member satisfaction, first call resolution, efficiency, and attendance.
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.
Some of our offerings include:
18 days of Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving Account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement – up to $5,250 per calendar year for job-related coursework
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
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.
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 7:550am – 10:00 pm, CST. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
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.
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
$1500 Sign On Bonus For External -anywhere within the U.S.
As a Senior Customer Service Advocate, you’ll provide our members with the information they need to make better decisions about their health, helping them get access to the right care the first time. Every day, you'll help 50 to 70 callers, in a compassionate and empathetic manner, providing guidance, support, and escalating issues. This is your chance to be sought out as an advisor and advocate your customer. You have the opportunity to exceed expectations and improve the lives of our customers every day.
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.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Handle escalated calls, resolving more complex customer issues in a one and done manner
Demonstrate outstanding service to identify the source of the issue and work to resolve customer inquiries and issues in a timely and professional manner, related to benefits, eligibility and claims, financial spending accounts, and correspondence
Help guide and educate customers about the fundamentals and the benefits to them of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits, and choosing a quality care provider
Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient
Own problem through to resolution on behalf of the customer in real-time or through comprehensive and timely follow-up with the member
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
Provide education and status on previously submitted pre-authorizations or pre-determination requests.
If you are located within Grand Junction, Colorado,
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 have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am – 5:00pm MST). It may be necessary, given the business need, to work occasional overtime. Our office is located at 2775 Crossroads Blvd, Grand Junction, CO, 81506.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
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
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
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
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma / GED (or higher) OR Equivalent years of work experience
Minimum of 2+ years of combined education, work and/or volunteer experience
Preferred Qualifications:
Fluent in Spanish
Customer Service experience
Sales or account management experience
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)
– Work from Home-If you are located in the Central or Eastern time zone area
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work the business hours of 9:00 am – 6:00 pm EDT.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
The Retention Representative is responsible for retaining current membership by assisting members by providing timely educational outreach reminders and with the completion and processing of government health insurance renewal applications. The position responds to all inquiries regarding the application process from both new and existing members as well as meets daily production metrics designed to achieve higher membership retention. This role will engage in telephonic outreach to assist with the annual recertification process as well as timely premium-billing payments.
Primary Duties and Responsibilities:
Contact individuals who need to recertify in order to maintain their benefits and deliver the highest level of professionalism and customer service standards with members and successfully educate members in a consistent manner that meets and exceeds the minimum performance standards. Utilize outbound phone calls to advise families about recertification requirements and timeframes, including premium billing deadlines to facilitate these processes for our customers. Coordinate and follow up as needed any member situation with Enrollment Department, Customer Service, and Marketing staff.
Follow policies and procedures to ensure meeting and/or exceeding overall performance standards in all platforms (Avaya, Genesys, Salesforce). Including but not limited to:
Quality
The % of outbound and inbound calls answered within the established duration of time and quality measures.
Call Abandonment Rate
Accuracy and Waiting time
Service Level
Dispositions and Resolutions
Ability to adapt and work on new projects as assigned, reporting activities and results in a timely manner. Identify new methodologies for efficiency in inventory management and department workflows. Must be organized and be able to work multiple campaigns at the same time and pull the correct campaign script based on the connected call.
Adherence to all policies, procedures, and workflows (i.e., timely submission of timesheets and expense reports). Follow all policies and procedures.
Take inbound calls from the Leads team to preliminarily screen potential members for UHC products and follow through to enrollment by setting up appointments for those who appear to qualify. Coordinate resolution from the Lead Team, Enrollment Department, Customer Service, and Marketing staff.
from anywhere within the U.S--$1000 Sign On Bonus For External Candidates
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 8:00 pm. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs
Perform adjustments for complex, closed, denied and simple claims
Ensure provider satisfaction by delivering status updates and following through to resolve issues
Identify, anticipate and resolve provider issues to better serve the provider; eliminating the need for future calls
This role is equally challenging and rewarding. You’ll be on the phone for long periods of time interacting with providers with the intent to develop a relationship with them. Within a high-volume setting, you’ll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High school diploma / GED (or higher) OR equivalent work experience
1+ years of customer service experience OR experience in a medical office, health care, call-center, or office setting analyzing and solving customer problems
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Preferred Qualifications:
Knowledge of medical claims billing ICD9, CPT, or HCPC codes
Soft Skill:
Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner.
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 8:00 am – 5:00 pm. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Primary Responsibilities:
Provide expertise and customer service support to members, customers, and/or providers
Serve as the liaison to a complex customer base to manage first-level response and resolution of escalated issues with external and internal customers
Identify and resolve operational problems using defined processes, expertise, and judgment
Investigate claim and/or customer service issues as identified and communicate resolution to customers
Provide feedback to team members regarding improvement opportunities
This role is equally challenging and rewarding. Within a high volume environment, you’ll need to model and act as an Ambassador for the company while solving complex health care inquires The Associate Service Account Manager acts as a customer advocate to resolve escalated and complex issues.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma / GED (or higher) OR equivalent work experience
3+ years of customer service experience analyzing and solving customer problems
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Soft Skills:
Ability to multi-task including the ability to understand multiple products and multiple levels of benefits within each product
Telecommuting Requirements:
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 the Central or Eastern time zone,
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 7:00am – 6:00pm. It may be necessary, given the business need, to work occasional overtime or weekends. The hours during training will be 8:00am to 4:30pm, Monday – Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
To learn even more about this position, click here to watch a short video about the job: http://uhg.hr/CustomerFirstRep (Note: these videos are labeled with our internal job title of Customer First Representatives)
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.
$750 Sign On Bonus For External Candidates 60-mile radius from the Greensboro office,
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 9:00am – 9:30pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 3803 North Elm Street Greensboro, NC 27455.
We offer 10 weeks of paid training. The hours during training will be 9:00am to 5:30pm 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.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to work our normal business hours of 8:30 am – 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 115 W. Wausau Ave., Wausau, WI 54401.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment, and explanation of benefits (EOBs)
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Own problem through to resolution on behalf of the customer in real-time verifying or through comprehensive and timely follow-up with the member
Review and research incoming dental claims from members and providers (dentists, dental offices, 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.
Work From Home-$1000 Sign On Bonus For External Candidates
If you are located within the state of Indiana,
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
Ability to adhere to the set schedule
Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and providing appropriate response to caller
Ability to apply critical thinking, verbal communications, attention to detail, and problem-solving skills to resolve complex issues.
Deliver complex information while positively engaging with the caller to ensure a meaningful caller experience.( EG. Show empathy, walking in their shoes)
Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
Accurately and thoroughly completing documentation in various systems, while adhering to all applicable standard operating procedures.
Learning new skills will be required overtime in this role as the function evolves and business needs change.
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.
Work from Home--If you are located within the state of Colorado,
This role is equally challenging and rewarding. You’ll be called on to research complex issues across multiple databases. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans, and levels of benefits available to members and you’ll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Making outbound calls to care providers and minimal inbound calls
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Contact care providers (hospitals) on behalf of the customer to assist with claims related issues or concerns
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma or GED (or higher)
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Reside in the state of Colorado
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
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