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Customer First Representative - Dental - Wausau, WI
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Wausau, WI Wausau, Wisconsin |
About this job
Position Description:
you're in the business of people. At UnitedHealth Group we want every
customer experience to be distinctly personal. The challenge is complex.
When people call us for help, their focus is on getting the best care
possible. We help them understand their benefits and their options. This
part of their lives matters a lot to them and it matters just as much
to us. 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.
The Customer Service/Claims
Representative (Dental) is responsible for answering incoming calls from
customers while ensuring a high level of customer service and
maximizing productivity.
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 the very best customer service to internal/external customers. (Approximately 50-60 calls per day).
- Constantly meet established productivity, schedule adherence, and quality standards
- Processes claims according to specified procedures and standards, meeting all position production and quality standards
- Recognizes
when to refer complicated claim situations to the various areas,
outside firms and organizations. Submits and monitors claims referred to
internal support units - Determines if third party recovery or reimbursable compensation potential exists
- Handles
complex claim situations. Analyzes and resolves problems from customers
and providers. Selects and explains the best solution for the problem - Project work as assigned
Requirements
Requirements:
- Customer service experience, including but not limited to an office setting, call center, phone support, a health care role, education/teaching, retail, or other service positions
- High School Diploma or GED
- Familiarity
with computer and Windows PC applications, which includes the ability
to learn new and complex computer system applications - Working Hours 7a-7p M-F
Assets:
- Claims experience
- Dental office experience (clinical or administrative)
- Call center experience
Soft Skills:
- Ability to navigate a computer while on the phone
Physical 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
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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