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in San Antonio, TX

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Hours Full-time, Part-time
Location San Antonio, TX
San Antonio, Texas

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:
  • Perform all types of complex adjustments and closed, denied, and simple adjustments
  • Meet Quality, Productivity and Attendance requirements
  • Ensure Provider Satisfaction
  • 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/GED or 10 years of equivalent work experience
  • 1+ years of Claims, Office or Customer Service experience analyzing and solving customer problems
  • Knowledge of dental claims or vision claims billing
  • Familiarity with ISET system
  • Prior stable work experience
  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Authorization to work in the United States
Soft Skills:
  • Ability to remain focused and productive each day though tasks may be repetitive
  • Effective communication skills
Physical Requirements and Work Environment:
  • 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 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.


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.