Provider Resolution Specialist - Sugar Land, TX

Provider Resolution Specialist

At UnitedHealth Group,
we're driven to help people lead healthier lives.  We're committed to
reshaping the way health care works for millions.  And our passion can
become your best career asset.  This is not just another company running
just another call center.  We're out to change health care for the
better and that starts with every inquiry we handle from the many health
care providers who care for our members.  Our commitment to supporting
them translates into better care for their patients.  When you join us,
you'll be learning, growing and making a difference for people every
day. 

The Provider Resolution Specialist is responsible
for answering incoming calls from customers while ensuring a high level
of customer service and maximizing productivity.

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

Qualifications:

• 1
  year of customer service experience analyzing and solving customer
  problems, OR 1 year of experience in an office setting environment using
  the telephone and computer as the primary instruments to perform job
  duties
• Healthcare experience preferred
• An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
• Authorization to work in the United States
• Available to work 40 hours per week anytime within the operating hours of the site
• Familiarity
  with computer and Windows PC applications, which includes the ability
  to learn new and complex computer system applications
• Ability to navigate a computer while on the phone
• Ability
  to multi-task, this includes ability to understand multiple products
  and multiple levels of benefits within each product
• Ability to remain focused and productive each day though tasks may be repetitive

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

UnitedHealth Group
is working to create the health care 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 health care
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

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.