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Hours Full-time, Part-time
Location Anchorage, AK
Anchorage, Alaska

About this job

Position Description:



UnitedHealthcare
Military & Veterans
is part of the family of companies that make
UnitedHealth Group one of the leaders across the US health care system.



We serve those who serve our nation, providing quality health care services to
millions of military beneficiaries across the country.



Our commitment to helping people live healthier lives, and to continue the
honor, satisfaction, and quality of the TRICARE military health benefit program
is greater than ever. Our efforts complement the Military Health System to
demonstrate the best blend of public and private health care solutions.



It's not just business as usual. It is one of our proudest endeavors.



If you're ready to help make health care work better for those who serve our
nation. If you are smart, creative, and committed. If you want to make a
difference. Consider being part of the elite team at UnitedHealthcare Military
& Veterans.



This is an opportunity to share in something special; a chance for all of us to
serve, to excel, and to know that we've made a difference for those families
who have made our nation stronger. 



 

We're looking for an organized
individual who demonstrates professionalism and a strong work ethic to
assist the members of the Military and their dependents.

The
purpose of the Referral Management Liaison is to delight our customers
by resolving their issues through fast and accurate problem
identification, routing to the appropriate department or Account Manager
when applicable with resolution or status of issues requiring
additional research. Face to Face contact with military treatment
service staff on all things TRICARE in the hospital setting.

Primary Responsibilities:

  • Serve as the liaison to a complex
    customer base to manage first level response and resolution of escalated
    issues with external and internal customers
  • Quickly and accurately identify and assess customer issues and resolve the issues real-time
  • Identify and resolve operational problems using defined processes, expertise and judgment
  • Investigate claim and/ or customer service issues as identified and communicate resolution to customers
  • Provide feedback to team members regarding improvement opportunities
  • Provide expertise and customer service support to members, customers, and/or providers
  • Quickly establish rapport relating to the customer in a polite, positive and courteous manner
  • Project patience, empathy, caring, and sincerity in voice tone and words
  • Express thoughts and information clearly and succinctly
  • Handle irate callers in a manner that defuses their emotion
  • Achieve quality and efficiency objectives
  • Maintain proficiency in all technical applications (technical skills and system knowledge)
  • Comply with all current policies, procedures and workflows
  • Extensive work experience, possibly in multiple functions
  • Work does not usually require established procedures
  • Works independently
  • Mentors others
  • Acts as a resource for others
  • Coordinates others' activities.

Requirements

Requirements:
  • High School Diploma or GED
  • 3+ years clinical skills in an actual medical setting (hospital or medial facility, face to face interaction with patients performing medical treatment)
  • 3+ years of customer service in a clinical setting (hospital or medial facility,  face to face interaction with patients and medical staff performing admin or pre-treatment duties)
  • Basic skills in MS Excel, Word, and Outlook/email
  • Hours Monday – Friday (7am – 4:30pm) may work overtime up to 60 hours a week total
  • United States Citizenship
  • Ability to obtain favorable
    adjudication following submission of Department of Defense form SF86 .


Assets:
  • Experience in Claims Payment, Claims Adjustments and/ or Enrollment
  • Experience working with Management level
  • LPN or RN Degree

Soft Skills:

  • Excellent communication skills verbal and written
As a requirement of UnitedHealth Group's
contract with the Department of Defense, this position requires U.S.
citizenship and proof of favorable adjudication following submission of
Department of Defense form SF86 ,
(the National Agency Check or “NAC”).  Successful completion of the NAC process is a requirement for continued
employment in this role.  NAC processing
will be initiated by our TRICARE Security Officer post-offer, and can take 3-6
months for a final decision communication from the Department of Defense.  Candidates will be allowed to begin
employment with UnitedHealth Group in this role based on an interim clearance,
and final results will be communicated as they are received.  Failure to obtain final NAC approval will
result in termination from this role.



Careers at UnitedHealthcare Military & Veterans. When
it comes to their healthcare, the men and women who help keep the peace
deserve the greatest peace of mind. That's why UnitedHealthcare is the
organization that's called on to serve them and their loved ones. We're
all about finding better ways to help improve their lives no matter
where life may take them. So our career opportunities take challenge to a
higher level. If you have a commitment to quality that mirrors our
commitment to the men and women of the armed forces, take time to learn
more about the career paths available here. It's a genuine opportunity
to do your life's best work.

As a potential government
contractor, this position requires U.S. citizenship and proof of
favorable adjudication following submission of Department of Defense
form SF85P.

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.