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Job Details

Customer Service Representative - Eden Prairie, MN

UnitedHealth Group
Eden Prairie, MN
View UnitedHealth Group Company Profile

Description

Position Description:

Energize your career with one of Healthcare’s fastest growing companies.  


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.


This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.


Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.


Primary Responsibilities:

  • Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence

  • Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider

  • Intervene with care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed

  • Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient

  • Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member

  • Research complex issues across multiple databases and work with support resources to resolve customer issues and / or partner with others to resolve escalated issues

  • Provide education and status on previously submitted pre-authorizations or pre-determination requests

  • Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance

Requirements

Required Qualifications:

  • High School Diploma / GED

  • 2+ years of customer service experience

  • Experience in Microsoft Excel - data entry, sorting, creating / modifying spreadsheets

  • Experience in Microsoft Word - data entry and documentation creation

  • Must be able to work Monday through Friday, 8:00 am to 5:00 pm

Preferred Qualifications:

  • Claim processing or medical coding experience

  • Experience with medical terminology

  • Behavioral Health experience

  • Call center experience preferred

Soft Skills:

  • Excellent written and verbal communication abilities

  • Proper phone etiquette

  • Ability to research information and relay information so that others can understand

  • Strong data entry abilities

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So, when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: behavioral claims, healthcare claims, claims representative, claims rep, claims processing, claims processor; UnitedHealth Group, UnitedHealth care, training, call center, customer service, Optum

Details:

  • JobId: 731486
  • Position Type: Full-Time
  • Experience Level: Not Specified
  • Posted / Updated: 9/13/2017

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