Call Center Representative

UnitedHealth Group•Tampa, FL

1d•$20 - $36•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. It’s a big step forward when you realize that you’ve earned the trust to lead a team. Now, let’s determine just how big that step can be. Take on this role with UnitedHealth Group and you’ll be part of a team that’s reshaping how health care works for millions. Now, you can take advantage of some of the best resources and tools in the world to help serve our members. You’ll play a lead role in a high volume, focused and performance driven call center where the goal is always to connect with members and enhance the customer experience. This is no small opportunity. This is where you can bring your compassion for others while building your career. Ability to work fulltime, Monday - Friday. Employees are required to have flexibility to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. This role is equally challenging and rewarding. Within a high-volume environment, you’ll need to model and act as an ambassador for the company while solving complex health care inquiries. The Call Center Representative acts as a customer advocate to resolve escalated and complex issues. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School Diploma / GED
Must be 18 years OR older
2+ years of healthcare customer service experience analyzing and solving customer problems
1+ years of medical claims (reviewing/processing) experience.
Knowledge reviewing medical codes (CPT, HCPCS, and/or ICD-10)
1+ years of working in a call center environment or experience managing heavy call volumes
Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
Ability to work Monday – Friday, 8:00am - 5:00pm EST
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Ability to multi-task including ability to understand multiple products and multiple levels of benefits within each product
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

Experience with Medical Prior Authorizations

Responsibilities

Provide expertise and customer service support to long-term care providers and members
Serve as the liaison to a complex customer base to manage first level response and resolution of escalated issues with external and internal customers
Identify and resolve operational problems using defined processes, expertise and judgment
Investigate claim, prior authorization, enrollment and revalidation and/or customer service issues as identified and communicate resolution to customers
Provide feedback to team members regarding improvement opportunities