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in Sugar Land, TX

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Hours Full-time, Part-time
Location Sugar land, TX
Sugar land, Texas

About this job

Position Description:


Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM


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 Administrative Intake of members or managing the Admission/discharge information post-notification, and working with hospitals and the Clinical team. Function includes managing Incoming calls, managing requests for services from Providers/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.


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.

    • 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.
  • 2+ years of professional experience in an Office setting using the telephone and computer as the primary instruments to perform the job duties.
  • Previous experience working with Microsoft Word, Excel and Outlook.
Preferred Qualifications:
  • Bachelor's Degree.
  • Professional experience with Medical Terminology/Coding (ICD-9/10 and CPT).
  • Professional experience in a Call Center with high call volume.
  • Professional experience in the areas of Healthcare or Insurance Benefits.
Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, and long periods of close vision looking at a computer monitor.
  • Service Center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity.
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in Healthcare here. We serve the Healthcare needs of low income adults and children with debilitating illnesses such as Cardiovascular Disease, Diabetes, HIV/AIDS and High-Risk Pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive Healthcare, Community, and Government partners to heal Healthcare and create positive change for those who need it most. This is the place to do your life's best work.SM

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.