COB Outreach Coordinator

UnitedHealth Group•San Juan, PR

12d•Onsite

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The COB Outreach Representative is responsible for resolving escalated provider and member issues. The successful COB Representative will perform root cause analysis, determine primacy, and update all systems to ensure that claims are processed correctly.

Requirements

1+ years of experience in an inbound/outbound call center environment
1+ years of experience with data entry
Proficiency in Microsoft Office including Word, Excel, PowerPoint, and Outlook (Sort, filtering, summing, formulas, formatting)
English Proficiency
Willing or ability to work 40 hours weekly from Monday to Friday during our regular business hours from 7am to 7pm (Overtime as business needs dictate)

Nice To Haves

Coordination of Benefits experience
Experience in healthcare industry

Responsibilities

Verify other insurance coverage through automated phone lines, databases, outreach to commercial payers, and other available methods
Data entry of other insurance coverage findings into internal applications
Initiate phone calls to employer groups, and other insurance companies to gather pertinent claim information, confirmation of services received and coordination of benefits information
Work directly with other departments to enhance and refine assigned inventory to maximize value
Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
Use pertinent data and facts to identify and solve a range of problems within area of expertise
Serves as a resource to others
Other duties as assigned