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in Tonawanda, NY

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Hours Full-time, Part-time
Location Tonawanda, NY
Tonawanda, New York

About this job

Position Description:

Energize your career with one of Healthcare's fastest growing
companies.  



 



You dream of a great career with a great company – where you can
make an impact and help people.  We dream of giving you the opportunity to
do just this.  And with the incredible growth of our business, it's a
dream that definitely can come true. Already one of the world's leading
Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to
operate our Service Centers, improve our Service levels and help people lead
healthier lives. We live for the opportunity to make a difference and right
now, we are living it up.



 



This opportunity is with one of our most exciting business areas:
Optum –a growing part of our family of companies that make UnitedHealth Group a
Fortune 17 leader.



 



Optum helps nearly 60 million Americans live their lives to the
fullest by educating them about their symptoms, conditions and treatments;
helping them to navigate the system, finance their Healthcare needs and stay on
track with their Health Goals. No other business touches so many lives in such
a positive way. And we do it all with every action focused on our shared values
of Integrity, Compassion, Relationships, Innovation & Performance.


Our
Customer Service teams have a serious responsibility to make every
contact informative, productive, positive, and memorable for what it
says about how much we care.

Employees in this position include
those responsible for initial Triage of Members, Administrative Intake
of Members or managing the Admission/Discharge information,
post-notification, and working with hospitals and the Clinical team.
This function includes managing Incoming calls, managing requests for
services from Providers and/or Members, providing information on
available Network services, and transferring Members, as appropriate, to
Clinical staff. Also manages the Referrals process, processes Incoming
and Outgoing referrals, and Prior Authorizations. This function also
includes Intake, Notification and Census roles.  Candidates will also engage members and assist with enrolling members in the health and wellness programs offered.

Primary Responsibilities:
  • Respond to Incoming Provider and Enrollee calls.
  • Resolve Customer Service inquiries which could include: 
    • Entering notifications and Providers' status of an existing notification, and determining if notification is required; and
    • Completing Notification Wizard, along with ICD-9 and CPT Coding.
  • Provide excellent Customer Service to both Providers and Enrollees.
  • Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.
  • Assist with faxes and emails.

Requirements

Required Qualifications:
  • High School Diploma/GED.
  • Availability to work within the operating hours of 7:00 am - 10:00 pm Monday through Thursday, 8:00 am - 4:30 pm Friday, and 7:00 am - 7:00 pm Saturday.
  • 1+ year of experience working with Microsoft Word, Excel, and Outlook.
  • 6+
    months of professional experience in an Office setting, using the
    telephone and computer as the primary instruments to perform the job
    duties.
  • 6+ months of Call Center experience.
  • Ability to navigate in a Windows environment.
Preferred Qualifications:
  • Professional experience in a Clerical or Administrator work-related role.
  • Healthcare or Insurance Benefits experience.
  • Medical Terminology/Coding (ICD-9 and CPT) experience.
  • Microsoft PowerPoint, Access, and Project experience.
  • Working knowledge of Medicare and Medicaid.

At
Optum, you will perform within an
innovative culture that's focused on transformational change in the Healthcare
system. You will leverage your skills across a diverse and multifaceted
business. And you will make contributions that will have an impact that's
greater than you've ever imagined.



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.