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in Westerville, OH

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Hours Full-time, Part-time
Location Westerville, OH
Westerville, Ohio

About this job

Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)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. Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.Primary Responsibilities:Respond to incoming provider and enrollee callsResolve customer service inquiries which could include:Enter notifications, Providers status of an existing notification and determining if notification is required.Complete notification wizard along with ICD-9 and CPT codingProvide excellent customer service to both providers and enrolleesConstantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.Assist with faxes and emailsModerate 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

Required Qualifications:High School Diploma/GED1+ year of Customer Service experience in the Healthcare Industry1+ year of experience in an Office setting using the telephone and computer as the primary instruments to perform the job dutiesExperience with Microsoft Office (Word, Excel, and Outlook)Knowledge of Medical TerminologyPreferred Qualifications:Knowledge of Medical Coding (ICD-9 & CPT)Experience working in a Call Center environmentKnowledge of Medicaid and MedicareCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SMDiversity 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.