Position Description: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) Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
The ideal candidate will have previous experience with all scripts care management and facets. Although not a requirement, it is a plus because these systems are used extensively. History of reliability and dependability is key to this position. Positive interpersonal relationship skills are a must.
Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, and working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.
Primary Responsibilities:
Respond to incoming provider and enrollee calls.
Resolve customer service inquiries which could include entering notifications, verifying providers status' of an existing notification, and determining if notification is required.
Complete notification wizard along with ICD-9 and CPT coding.
Provide excellent customer service to both providers and enrollees.
Constantly meet established productivity, schedule adherence and quality standards while maintaining good attendance.
Assist with faxes and emails.
Moderate work experience within own function.
Some work is completed without established procedures.
Basic tasks are completed without review by others.
Supervision/guidance is required for higher level tasks.
Qualifications:
Requirements:
HS Diploma/GED
2+ years (or higher) of customer service experience.
Intermediate (or higher) computer skills.
Assets:
Medical Coding experience (ICD-9 and CPT).
Medical terminology experience.
Managed Care experience.
Knowledge of healthcare benefits.UnitedHealthcare Employer & Individual is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. When you work with UnitedHealthcare Employer & Individual, what you do matters. It's that simple...and it's that challenging.In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.Regardless of your role at UnitedHealthcare Employer & Individual, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.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.
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