You want more challenge. You want more opportunity. Even more, you want the chance to make an impact the lives of others. We want more people like you. When you join us as a Customer Service Advocate for UnitedHealthcare, you'll have the opportunity to make a difference in the lives of our health plan members each day as they look to you as their trusted advisor and advocate. You'll be empowered to compassionately deliver an exceptional experience to between 50 to 70 callers per day - always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. You'll help them make informed decisions about their care services by answering their questions, resolving their issues or helping them enroll in and/or select a health plan. You'll do this by developing and maintaining a productive relationship and interaction with all callers, while providing personalized, and consultative education and information. Here, you'll join us on a mission to deliver the best customer service in the health care industry. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing your life's best work.(sm)
Handles incoming and outbound calls facilitating a positive client experience
Facilitates payor responsibility and referral process by obtaining accurate demographic, insurance and pay source information
Obtains prior authorization and secures co pay as defined by policy
Routes referral and client information to the appropriate venue and notifies referral source of disposition when unable to accept referral
Accurately document all patient and referral information in patient charts and computer system
Acts as a mentor to other representatives during introductory period
Resolves most questions and problems, and refers only the most complex issues to higher levels
High School diploma or equivalent
Experience working in healthcare Medical Environment or insurance
Bilingual in Spanish and English
Demonstrate skills in Windows computer systems and ability to learn new programs
3+ years customer service experience
1 year of experience working as a call center representative
Medical terminology, ICD coding and CPT coding
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: DME, HME, durable medical equipment, home medical equipment, call center, customer service, Las Vegas, NV, Nevada