The job below is no longer available.

You might also like

in Phoenix, AZ

Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location Phoenix, AZ
Phoenix, Arizona

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:
  • Data Entry
  • Respond to incoming provider and enrollee calls 
  • Resolve 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 coding
  • Provide excellent customer service to both providers and enrollees
  • Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.
  • Assist with faxes and emails 
  • Moderate 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

Requirements:
  • HS Diploma/GED
  • Must be open to working the Evening Shift, from 6:00 pm - 2:30 am, with a 7% Shift differential.
  • Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86
  • United States Citizenship
  • 2+ years of customer service experience
  • 1+ year experience in office setting environment using the telephone and computer as the primary instruments to perform the job duties
  • Basic computer skills
Assets: 
  • Medical Terminology/Coding (ICD-9 and CPT)
  • Healthcare experience
  • Data entry experience 

As
a requirement of UnitedHealth Group's contract with the Department of Defense, this
position requires U.S. citizenship and proof of favorable adjudication
following submission of Department of Defense form SF86 ,
(the National Agency Check or “NAC”). 
Successful completion of the NAC process is a requirement for continued
employment in this role.  NAC processing
will be initiated by our TRICARE Security Officer post-offer, and can take 3-6
months for a final decision communication from the Department of Defense.  Candidates will be allowed to begin
employment with UnitedHealth Group in this role based on an interim clearance,
and final results will be communicated as they are received.  Failure to obtain final NAC approval will
result in termination from this role.


UnitedHealthcare Military & Veterans is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.

We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the (list region post award).

Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions.

It's not just business as usual. It is one of our proudest endeavors.

If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth care Military & Veterans.

This is an opportunity to share in something special; a chance for all of us to serve, to excel, and to know that we've made a difference for those families who have made our nation stronger.

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.