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Claims Customer Service Representative - Meridian, ID - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Boise, ID Boise, Idaho |
About this job
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.
You want more challenge. You want more opportunity. Even more, you want the chance to make an impact the lives of others. We want more people like you. When you join us as a Customer Service Representative for UnitedHealthcare, you'll have the opportunity to make a difference in the lives of our health plan members each day as they look to you as their trusted advisor and advocate.
You'll be empowered to compassionately deliver an exceptional experience to between 50 to 70 callers per day always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. You'll help them make informed decisions about their care services by answering their questions, resolving their issues or helping them enroll in and/or select a health plan.You'll do this by developing and maintaining a productive relationship and interaction with all callers, while providing personalized, and consultative education and information.
Here, you'll join us on a mission to deliver the best customer service in the health care industry. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing your life's best work.
To learn even more about this position, hear from other Customer Service Advocates. Click here to watch a short video about the job: http://uhg.hr/customerserviceadvocate1 (Note: these videos are labeled with our internal job title of Health Advisor)
Primary Responsibilities:
- Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence.
- Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider
- Intervene with care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
- Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient
- Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member
- Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
- Provide education and status on previously submitted pre-authorizations or pre-determination requests
- Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance
- Serve a network of providers by supporting their questions related to claim remittances
- Contribute to call center performance by meeting call standards
- Communicate effectively with others when an issue is a priority
- 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.
Requirements
- 1+ years of Claims Customer Service experience
- An education level of at least a high school diploma or GED or 10 years of equivalent working experience
- Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time as needed
- Health care experience
- Associate degree or higher
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.
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