Answer 50-70 incoming phone calls per day from members and identify the type of assistance needed. Will be taking calls to verify benefit coverage, prior authorization approval, checking on status of prior authorization and educating members on appeal option. Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems. Research complex issues across multiple databases and work with support resources to resolve ... more details
Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Training classes start soon - apply today!
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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm CST, and Saturday 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.
*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.
Primary Responsibilities:
- Answer 50-70 incoming phone calls per day from members and identify the type of assistance needed. Will be taking calls to verify benefit coverage, prior authorization approval, checking on status of prior authorization and educating members on appeal option.
- Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems.
- Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues.
This role is equally challenging and rewarding. Youll be called on to research complex issues across multiple databases. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and youll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.
Youll 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
- Must be 18 years of age or older.
- Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications.
- Flexible to work full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 7:00pm CST, and Saturday 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
- 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools.
- Prior health care experience
Soft Skills:
- Proficient conflict management skills to resolve issues in a stressful situation.
- Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner.
Telecommuting Requirements:
- 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.
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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, youll find a far-reaching choice of benefits and incentives.
Application Deadline:This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location, and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
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.
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