Provider Customer Service Representative - Remote - 1004871

$1000 Sign On Bonus For External Candidates

You’ll enjoy the flexibility to telecommute* from anywhere within the

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

Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want – apply today! We provide the support and structure, you provide the interest and motivation.

You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a  Customer Service and Claims Representative , you'll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing  your life's best work.SM

In this role, you play a critical role in creating a quality experience for the callers that you connect with and those that you correspond with. Every interaction gives you that opportunity to improve the lives of our customers and exceed their expectations. You'll spend the majority of your day by responding to calls from our members and help answer questions and resolve issues regarding health care eligibility, claims and payments. You'll also spend a portion of your time reviewing, researching and processing healthcare claims with the goal to ensure that every claim has a fair and thorough review.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:05am – 7:50 pm, EST. It may be necessary, given the business need, to work occasional overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

Answer incoming phone calls from customers and identify the type of assistance the customer needs (, billing and payments, authorizations for treatment and explanation of benefits (EOBs)

Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems

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

Review and research incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (, prior authorizations, applicable benefits)

Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan

documents/certificates)

Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding

Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendance

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.

Required Qualifications:

High School Diploma / GED (or higher) OR equivalent work experience

Minimum of 2+ years of combined education, work and/or volunteer experience.

Flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:05am – 7:50 pm, EST

Preferred Qualifications:

Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)

Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations)

Sales or account management experience

Customer Service experience

Soft Skills:

Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in respectful, timely manner, consistently meeting commitments)

Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests and identify the current and future needs of the member

Proficient problem-solving approach to quickly assess current state and formulate recommendations

Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon

Flexibility to customize approach to meet all types of member communication styles and personalities

Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrating personal resilience

Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed

Telecommuting Requirements:

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Ability to keep all company sensitive documents secure (if applicable)

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at Opens in a new window

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. Opens in a new window

Careers with UnitedHealthcare . Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near – obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life’s best work.SM

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $15.00 to $22.02. The salary range for Connecticut / Nevada residents is $15.00 to $24.13. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives

**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.