Customer Service Representative Inbound and Outbound- Phoenix, AZ

Position Description:

Healthcare isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. 

 

Who are we? Optum360. We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of revenue management services to health care providers nationwide. 

If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.

The Customer Service Representative is responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity.

Positions in this function are responsible for providing expertise and customer service support to members, customers, and/ or providers. Direct phone-based customer interaction to answer and resolve a wide variety of inquiries.

Primary 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 excellent customer service


• Constantly meet established productivity, schedule adherence, and quality standards


• Moderate work experience within own function.


• Some work is completed without established procedures.


• Basic tasks are completed without review by others.


• Supervision/ guidance is required for higher level tasks.

Requirements:

• High school diploma/ GED


• 1+ years of customer service experience analyzing and solving customer problems, OR 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties


• 1+ years experience with and working knowledge of Explanation of Benefits


• 1+ years experience with and working knowledge of Coordination of Benefits


• 1+ years experience with and working knowledge of HIPAA
  

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
  

Take the next step, online at: www.yourlifesbestwork.com

Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.

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.