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in Phoenix, AZ

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Hours Full-time, Part-time
Location Phoenix, AZ
Phoenix, Arizona

About this job

Position Description:


Healthcare
isn't just changing. It's growing more complex every day. ICD10
replaces ICD9. Affordable Care adds new challenges and financial
constraints. Where does it all lead? Hospitals and Healthcare
organizations continue to adapt, and we are vital part of their
evolution. And that's what fueled these exciting new opportunities. 


 


Who
are we? Optum360. We're a dynamic new partnership formed by Dignity
Health and Optum to combine our unique expertise. As part of the growing
family of UnitedHealth Group, we'll leverage our compassion, our
talent, our resources and experience to bring financial clarity and a
full suite of revenue management services to health care providers
nationwide. 


The Customer Service Representative
is responsible for answering incoming calls from customers while
ensuring a high level of customer service and maximizing productivity.


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 for all incoming calls from patients, physicians, insurance companies and the facilities.

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 excellent customer service
  • Constantly meet established productivity, schedule adherence, and quality standards
  • 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:


  • High school diploma/ GED

  • 1+ years of customer service experience analyzing and
    solving customer problems, OR 1+ years of experience in an office
    setting environment using the telephone and computer as the primary
    instruments to perform job duties

Assets:

  • Experience with and working knowledge of Explanation of Benefits

  • Experience with and working knowledge of Coordination of Benefits

  • Experience with and working knowledge of HIPAA

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

Careers
with OptumInsight
. Information and technology
have amazing power to transform the Healthcare industry and improve people's
lives. This is where it's happening. This is where you'll help solve the
problems that have never been solved. We're freeing information so it can be
used safely and securely wherever it's needed. We're creating the very best
ideas that can most easily be put into action to help our clients improve the
quality of care and lower costs for millions. This is where the best and the
brightest work together to make positive change a reality. This is the place to
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, 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.