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Healthcare Customer Service Representative - Las Vegas, NV

09/26/2018Call Center
Job Location:
Las Vegas, NV
Metro Area:
NV - Las Vegas
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)   Under minimal supervision this position is responsible for responding to referral requests generated via computer, fax or telephone. Answers all incoming calls via Automatic Call Distribution and making outbound calls to obtain demographic, referral information, verify insurance eligibility, benefits and obtain authorization as needed.   Primary Responsibilities: Ability to handle 35+ calls and 15+ referrals during an 8 hour shift, facilitating a positive patient experience Maintain 98% Accuracy on all patient documentation and referral information in patients account Obtains prior authorization and secures co - pay as defined by policy Routes referral and patient information to the appropriate venue and notifies referral source of disposition when unable to accept referral Resolves questions and problems, and refers only the most complex issues to higher levels Adhere to all written policy and procedures Provides mentorship to other representatives during introductory period


Required Qualifications: 2+ years of customer service in an actual 'Call Center' 1+ years of recent medical office or healthcare Medical terminology, ICD coding and CPT coding knowledge Knowledge of and standard insurance verification processes Windows computer systems skills and ability to learn new programs as required Preferred Qualifications: High School diploma or equivalent Medicare, HMO Excellent Customer Service experience Helping 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.(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.     Job Keywords: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, healthcare, health care, office, phone support, training class, Las Vegas, Nevada, NV
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