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Customer Service Representative - San Antonio, TX - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Shavano Park, TX San Antonio, Texas |
About this job
Position Description:
The Customer Service Representative will work in collaboration with our enrollment, compliance, and IT departments to ensure that all administrative functions related to member outreach are performed efficiently and in a timely manner. These include but are not limited to outbound calls, retrieval of incomplete application information, verification of chronic conditions, enrollment escalation inquiries, inbound call processes, all aspects of the Enrollment Calll Center department processes and our compliance program. They will be knowledgeable in other data sources such as Facets, XLCare, Citrix, Optum Rx, MARx, Onbase, Task Tracker, I3 systems, Sharepoint sites, and EAM. The Member Outreach representative is responsible for providing high-quality customer service, utilizing and applying analytical skills, and documentation support to exceed Care Improvement Plus' customer expectations.
Primary Responsibilities
- Conducts direct outbound phone activity of Care Improvement Plus Special Needs Plan products and services to beneficiaries and providers in Plan service areas
- Ensures accurate and appropriate documentation support that translates into successful development and maintenance of Care Improvement Plus products and services
- Meets CMS and state Prepares reports setting forth progress, trends, and recommendations
- Identifies problems, troubleshoots, and provides guidance to customers;
- Adheres and suggests improvement to policies and procedures regarding problem identification, documentation, distribution, and correction to ensure immediate resolution
- Serves as liaison with all other division operations and services to keep abreast of policy and procedural changes;
- Maintains working knowledge of Medicare/Medicaid regulations, managed care industry, pertinent legislation, and the competitive environment
- Contributes to team effort by accomplishing related results as needed.
- All other duties as required and assigned by department leadership.
Requirements
- High School diploma required or GED equivalent
- Minimum 1+ years customer service
- Intermediate experience with Microsoft Outlook and Excel
- Work hours: Monday – Friday from 8:00am – 5:00pm
- Ability to perform tasks with minimal supervision, a high level of accuracy, and strong attention to detail
- Excellent written and verbal communications skills
Assets:
- Enrollment and Eligibility experience a plus
- Medicare/Medicaid beneficiaries experience a plus
- Bilingual ability is a plus
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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