|
| Customer Service Representative - San Antonio, TX |
Job Location:
Metro Area: |
San Antonio, TX
TX - San Antonio
|
Category: |
Customer Service
|
|
Contact Info |
Company Name: UnitedHealth Group
Website:
Click to Visit
|
Apply: Submit Resume Now
|
|
|
| |
Job Description:
|
The Customer Service Representative is responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity.
Responsibilities:
- Respond to complex customer calls
- Resolve customer service inquiries which could include:
- Benefit and Eligibility information
- Billing and Payment issues
- Customer material requests
- Physician assignments
- Authorization for treatment
- Explanation of Benefits (EOB)
- Provide the very best customer service to internal/external customers. (Approximately 50-60 calls per day).
- Constantly meet established productivity, schedule adherence, and quality standards
- Processes claims according to specified procedures and standards, meeting all position production and quality standards.
- Recognizes when to refer complicated claim situations to the various areas, outside firms and organizations. Submits and monitors claims referred to internal support units.
- Determines if third party recovery or reimbursable compensation potential exists.
- Handles complex claim situations. Analyzes and resolves problems from customers and providers. Selects and explains the best solution for the problem.
- Project work as assigned.
UnitedHealth Group is working to create the health care system of tomorrow.
Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
 Required Skills: Qualifications:
- 1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
- Authorization to work in the United States
- Available to work 40 hours per week anytime within the operating hours of the site
- Prior stable work experience
- Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
- Ability to navigate a computer while on the phone
- Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
- Ability to remain focused and productive each day though tasks may be repetitive
Physical Requirements and Work Environment:
- Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
- Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
|
|
|
|
