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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.
Employees in this position include those responsible for initial Triage of Members, Administrative Intake of Members or managing the Admission/Discharge information, post-notification, and working with hospitals and the Clinical team. This function includes managing Incoming calls, managing requests for services from Providers and/or Members, providing information on available Network services, and transferring Members, as appropriate, to Clinical staff. Also manages the Referrals process, processes Incoming and Outgoing referrals, and Prior Authorizations. This function also includes Intake, Notification and Census roles.As a potential government contractor, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF85P.
Primary Responsibilities:

Data Entry.
Respond to Incoming Provider and Enrollee calls.
Resolve Customer Service inquiries which could include: 
Entering notifications and Providers' status of an existing notification, and determining if notification is required.
Completing 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

Required Qualifications:

High School Diploma/GED.
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 environment using the telephone and computer as the primary instruments to perform the job duties.
Computer skills, including familiarity with computer and Windows PC applications and the ability to learn new and complex computer system applications with proper training and applying their use for-phone and off-phone duties.
Preferred Qualifications: 


Medical Terminology/Coding (ICD-9 and CPT) experience.
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 http://www.opm.gov/forms/pdf_fill/sf86.pdf, (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.
Careers at UnitedHealthcare Military & Veterans. When it comes to their healthcare, the men and women who help keep the peace deserve the greatest peace of mind. That's why UnitedHealthcare is the organization that's called on to serve them and their loved ones. We're all about finding better ways to help improve their lives no matter where life may take them. So our career opportunities take challenge to a higher level. If you have a commitment to quality that mirrors our commitment to the men and women of the armed forces, take time to learn more about the career paths available here. It's a genuine opportunity to 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.