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Customer Service Representative - Las Vegas, NV
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Las Vegas, NV Las Vegas, Nevada |
About this job
Position Description:
When you are in the business of health care, you're in thebusiness of people. At UnitedHealth Group we want every customer experience tobe distinctly personal. The challenge is complex. When people call us for help,their focus is on getting the best care possible. We help them understand theirbenefits and their options. This part of their lives matters a lot to them andit matters just as much to us. Our customer service teams have a seriousresponsibility to make every contact informative, productive, positive, andmemorable for what it says about how much we care.
Primary Responsibilities:
Primary Responsibilities:
- Provide excellent customer service
- Constantly meet established productivity, schedule adherence, and quality standards
- 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)
- Telephonically assist members and providers with all levels of problem solving, inquiries, provider information and general insurance service
- Assist in enrollment efforts
- Answer incoming calls regarding benefits, claims, eligibility and other inquiries as it relates to health insurance and acts as Member Advocate
- Meet individual and quality standards to achieve departmental performance goals
- Thoroughly review and investigate claim problems and routes appropriately for resolution
- Research issues and use judgment for obtaining only the relevant information
- Prioritizes inbox and workload to ensure closure rate within department standards
- Meet and maintain tardiness and attendance standards set by company policies
- Handle all calls courteously, politely and professionally
- Attend in-services/meetings and maintain resource materials
- Complete career and self-improvement classes; namely Defusing Anger, Dealing with/ Difficult People, Dealing with Difficult Co-Workers, and Self-Esteem or other classes as determined by Supervisor/Manager
- Other duties as assigned
Requirements
Requirements:
- An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
- Minimum of 1 year Customer Service or ACD Call Center Experience is required
- Familiarity of MS/Office (Word, Excel & Outlook) is required
- Ability to type a minimum of 35 wpm is required
- Preferred experience in a healthcare insurance or medical field
- Knowledge or ability to learn state and federal laws and regulations applicable to the call center is desired
- Knowledge of HMO/PPO/Medicare plans/benefits and medical terminology preferred
- Bilingual in English and Spanish preferred
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
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.
UnitedHealthcare Employer & Individual is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare Employer & Individual, what you domatters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, ourgoal is to create higher quality care, lower costs and greater access to healthcare. Join us and you will be empowered to achieve new levels of excellence andmake a profound and personal impact as you contribute to new innovations in avital and complex system.
When you work with UnitedHealthcare Employer & Individual, what you domatters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, ourgoal is to create higher quality care, lower costs and greater access to healthcare. Join us and you will be empowered to achieve new levels of excellence andmake a profound and personal impact as you contribute to new innovations in avital and complex system.
Diversity
creates a healthier atmosphere: All qualified applicants will receive
consideration for employment without regard to race, color, religion, sex,
national origin, protected veteran status, or disability status.
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.
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