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Subject Matter Expert- Hooksett, NH
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Hooksett, NH Hooksett, New Hampshire |
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.
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:
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.
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:
- Perform all types of complex adjustments and closed, denied, and simple adjustments
- Meet Quality, Productivity and Attendance requirements
- Ensure Provider Satisfaction through:
- Maintaining accurate documentation in ORS
- Providing assistance to Providers with status updates
- Being responsible for any follow-up work needed for resolving and closing issues
- Identifying and resolving anticipated Provider issues to prevent future calls
- Maintain proficiency in all technical applications (technical skills and system knowledge)
- Comply with all current policies, procedures and workflows
- Extensive work experience, possibly in multiple functions.
- Work does not usually require established procedures.
- Works independently.
- Mentors others.
- Acts as a resource for others.
- Coordinates others' activities.
Requirements
Requirements:
- High School Diploma or GED
- 1+ year Oxford Platform experience in a customer service role required
- Must be able to comfortably utilize the following systems: YODA, At Your Service, Corporate Policy, SOPS is required
- Must currently be meeting all performance metrics (MyMetrics)
- Must be able to work any shift between the hours of 8:00am - 6:00pm Monday - Friday
- Experience coaching and mentoring others preferred
- Bilingual in English and Spanish is a plus
- Working understanding of Behavioral Analytics is preferred
- Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
- Office environment
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 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.
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.