United Healthcare jobs Customer Service Representative: As you take on some difficult problems, you’ll appreciate the ability to telecommute from anywhere in the United States.
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Detail of United Healthcare jobs (Customer Service Representative)
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UnitedHealthcare is simplifying health care, building healthier communities, and removing obstacles to great treatment. The work you perform here has a positive influence on the lives of millions of people. Come help develop tomorrow’s healthcare system, making it more responsive, economical, and equal. Are you ready to make a difference? Join us and begin performing the most important task of your life. SM
In this capacity, you play a crucial part in providing a high-quality experience to callers and individuals with whom you contact. Every connection provides you with the potential to improve our clients’ lives and exceed their expectations. The majority of your day will be spent responding to calls from our providers, answering questions and resolving concerns with health care eligibility, claims, and payments. To offer updates, you may be expected to examine and study incoming healthcare claims from providers (doctors, clinics, etc.) by accessing numerous computer systems and platforms.
This position is full-time (40 hours per week) and is available Monday through Friday. Employees must be available to work any of our eight-hour shift schedules between the hours of 7:00 a.m. and 6:00 p.m. CST. Given the nature of the business, it may be essential to work some overtime.
We are offering 5 weeks of paid training beginning November 13, 2023. The training hours will be 8:00 a.m. to 4:30 p.m. CST, Monday through Friday. The remaining 7 weeks are for on-the-job training (OJT). Schedules will be adjusted to their usual shift during our operational hours of 7:00am – 6:00pm CST, Monday through Friday, throughout this OJT time. Training will take place electronically from the comfort of your own home.
Telecommuters must follow the Telecommuter Policy of UnitedHealth Group.
Principal Responsibilities of United Healthcare jobs (Customer Service Representative):
- Answer incoming client phone calls and determine the sort of help required (i.e., benefit, eligibility, authorizations for treatment, and claims).
- While documenting needed information in computer systems, ask relevant questions and actively listen to identify particular queries or difficulties.
- Own the problem from start to finish on behalf of the caller in real-time, or extensive and fast follow-up with the provider
- Review and investigate incoming healthcare claims from providers (doctors, clinics, etc.) by accessing different computer systems and platforms in order to offer revisions to providers’ documents/certificates).
- To address concerns, communicate and engage with providers, using plain, basic language to assure comprehension.
- Meet the position’s performance goals in terms of efficiency, accuracy, quality, customer satisfaction, and attendance.
- This job will receive and manage 50-60 provider calls every day.
- The provider calls from UHN and non-UHN networks (custom provider network inquiries from UMR medical provider clients such as hospitals and clinics)
- Handles one-of-a-kind customized workplace benefit programs
UMR as a TPA Provides United Healthcare jobs:
- Customers are employers who utilize UMR as a TPA to manage their benefit programs.
- Medical providers (hospitals/clinics) are referred to as providers.
- Members are self-insured workplace plan subscribers and dependents.
- Brokers – are consultants who work with the employer and may contact UMR’s service team with a query or claim; calls from Brokers are few since they typically contact the Sales Account teams or the Service Account Management team.
- You will be rewarded and recognized for your performance in an atmosphere that will push you and provide clear direction on what it takes to succeed in your career while also providing development for other roles you may be interested in.
Qualifications required for United Healthcare jobs:
- High school diploma or GED (or equivalent) OR 10+ years of equivalent work experience
- 1+ years of customer service experience analyzing and resolving issues
- Capability to successfully finish the Customer Service training program and exhibit material competency. The training session will last 5 weeks and will begin on August 14, 2023. Training hours will be from 8:00 a.m. to 4:30 p.m. CST.
- Monday to Friday, full-time employment. Employees must be available to work any of our eight-hour shift schedules between the hours of 7:00 a.m. and 6:00 p.m. CST. Given the nature of the business, it may be essential to work some overtime.
- Ability to perform regularly planned shifts during our operating hours, including the training period, with scheduled lunches and breaks
- Ability to perform regularly planned shifts during our operating hours, including the training period, with scheduled lunches and breaks, as well as the ability to change daily schedules and work overtime and/or weekends as needed.
Soft abilities for United Healthcare jobs:
- Ability to immediately establish rapport and respond to consumers in a sympathetic manner by identifying and surpassing customer expectations (responding in a courteous, timely manner, and regularly meeting promises)
- Ability to listen carefully, acquire pertinent information, evaluate immediate requirements, and recognize the provider’s present and future needs
- Effective problem-solving technique for swiftly assessing current status and making recommendations
- Customers can comprehend and act on straightforward, step-by-step directions that translate healthcare-related language and complicated processes.
- Adaptability in approach to accommodate all sorts of client communication styles and personalities
- Competent conflict resolution abilities, including the capacity to handle difficulties in stressful circumstances and demonstrate personal resilience
- This job will get up to 50-60 provider calls every day and will demand complete attention to work obligations. Employees in this capacity must be able to guarantee uninterrupted work time while on shift (apart from usually planned breaks and lunch).
California, Colorado, Connecticut, Nevada, New York, or Rhode Island Only for residents: The wage range for citizens of California, Colorado, Connecticut, Nevada, Washington, New York, and Rhode Island is $16.00 – $31.44.Pay is determined by a variety of criteria, including but not limited to education, job experience, certifications, and so on. UnitedHealth Group provides advantages in addition to your income, such as a complete benefits package, reward and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility restrictions). No matter where or when you start your career with UnitedHealth Group, you’ll have access to a wide range of perks and incentives.
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