Job details
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Vacancy TypeRemote
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Job TypeFull-time
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Shift and ScheduleMonday to Friday, 8 hour shift, Overtime
Description
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.
As a Senior Customer Service Representative, you'll provide our members with the information they need to make better decisions about their health, helping them get access to the right care the first time. Every day, you'll provide compassionate and empathetic support to 50 to 70 callers providing guidance, support, and resolution for escalated issues. This is no small opportunity. This is where you can bring your compassion for others while building your career.
This role is equally challenging and rewarding. You'll be on the phone for long periods of time and encounter all types of communication styles and personalities as you help resolve conflicts or issues. You'll deal with stressful situations and resolve complex health care concerns in a positive, simplified manner so that callers fully understand their health care plans and solutions.
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 8:30am – 8:00pm EST. It may be necessary, given the business need, to work occasional overtime. This position will require employees to work on-site during training and remain on-site until they are consistently meeting production metrics. At that time, the employee will become eligible to transition to a remote position.
Our office is located at 909 Hidden Ridge, Irving, TX 75038. Training is onsite but after meeting metrics, you may opt to continue working onsite, OR otherwise, enjoy the flexibility to work from home as you take on some tough challenges.
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Answer a high volume of calls from patients or their representative, regarding patient bill balances, payment plans, credit card payments, patient pricing, re – billing insurance companies and general customer concerns
- Process adjustments, refunds, transfer bills, mail returns and perform manual sales
- Evaluate and respond to all aspects of written billing inquiries, including but not limited to: billing insurances, and updating invoices
- Research, troubleshoot and resolve complex billing issues and customer complaints, taking all steps to resolve and ensure full resolution
- Maintain tracking log of all escalated patient correspondence, providing status updates to leadership as needed
- Ability to perform all aspects of billing customer service as needed
- May be a certified Medical Coder and / or involved in medical coding
- Thorough navigation of both Quest Billing System and the web
- Maintain all Compliance and HIPAA regulations at all times
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)
- 1+ years of customer service experience OR experience in a medical office, health care, call-center or office setting analyzing and solving customer problems
- Familiarity with computer and Windows computer applications, which includes the ability to navigate and learn new and complex computer system applications
- Ability to work any of our 8-hour shift schedules between the hours of 8:30am - 8:00pm EST
Preferred Qualifications:
- Prior health care experience
- Knowledge of billing/finance and eligibility processes, practices, and concepts
- Bilingual fluency in English and Spanish
- Proficient in translating health care-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon
Telecommuting Requirements:
- Reside within commutable distance to 909 Hidden Ridge, Irving, TX 75038
- 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
Soft Skills:
- Demonstrated ability to listen skillfully, collect relevant information, build rapport, and respond to customers in a compassionate manner
- Proficient conflict management skills including the ability to resolve stressful situations
Helping create positive customer experiences for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.SM
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves 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.
Table
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AdressIrving, TX 75061