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Telephonic Care Manager Associate - Waltham, MA
| Hours | Full-time, Part-time |
|---|---|
| Location | Waltham, MA Waltham, Massachusetts |
About this job
Position Description:
UnitedHealth Group is working to create the Healthcare system of tomorrow and you can help. Already Fortune 17, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're building a high-performance Healthcare system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed. Join with us and start doing your life's best work.SM
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.
Primary Responsibilities:
- Office based care coordination over the phone completing assessments and documentation within a clinic system while multitasking other applications gathering information to support members' needs.
- Work with physician's offices to manage requests for services for members.
- Handle resolution/inquiries from members and/or providers that may include:
- Benefit and Eligibility information
- Billing and Payment issues
- Customer material requests
- Physician assignments
- Authorization for treatment
- Explanation of Benefits (EOB)
- Verifying appropriate ICD-9 and CPT coding usage
Requirements
Required Qualifications:
- High School Diploma/GED.
- 2+ years of Customer Service experience analyzing and solving customer problems.
- 1+ year of experience with Microsoft Word and Excel.
Preferred Qualifications:
- Bachelor's Degree.
- Experience working within the Healthcare Industry including Hospital, Physician's Office, or Medical Clinic setting.
- Professional experience in a Clerical or Administrative support related role.
- Working Knowledge of Medical Terminology.
- Experience working with ICD-9 and CPT codes.
- Experience working with Medicare and/or Medicaid Services.
- Experience working in a Call Center environment.
- Experience with Outlook.
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
wherever 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.SM
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.　
Keywords: customer service, call center, intake, prior authorization, medical assistant, administrative, clerical, coordinator, claims.