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Customer Service Representative - Meridian, ID

01/10/2019Call Center
Job Location:
Meridian, ID
Metro Area:
ID - Boise
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealthcare, part of the UnitedHealth Group family of businesses. Now, you can take advantage of some of the best training and tools in the world to help serve our members by interfacing and solving issues with their health care providers. As part of our Provider Services group, the quality of support you deliver will directly translate into better care for their patients This is no small opportunity. This is where you can bring your compassion for others while building your career. The Optum Idaho Provider Customer Service call center is the phone number on network providers’ claim remittances for Idaho Medicaid outpatient behavioral health.  Six months to one year of healthcare claims experience is required.  We offer a supportive and engaging onboarding program with introduction to our resources and tools.  Responsibilities include offering any caller a supportive and responsive demeanor, referring to tools and training for accurate call responses, and documenting calls in a manner that supports closure of an inquiry or timely follow up.  When not on a call, we conduct proactive spot audits related to payment and company “Blue Chips." Primary Responsibilities:Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (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 appropriate response to caller Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staffComplete the documentation necessary to track provider issues and facilitate the reporting of overall trends


Required Qualifications: HS Diploma / GED (or higher)6+ months of experience in a customer service call center environment6+ months of healthcare claims experienceSoft Skills:Great verbal communication skillsHelping create positive customer experiences for providers and our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.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 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.Keywords:  UHG, Optum, Meridian, ID, call center, customer service, healthcare claims
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