Senior Healthcare Call Center Representative - Eden Prairie, MN
February 15, 2018
Eden Prairie, Minnesota
PositionDescription:Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company – where you can make an impactand help people. We dream of giving you the opportunity to do just this. Andwith the incredible growth of our business, it's a dream that definitely cancome true. Already one of the world's leading Healthcare companies, UnitedHealthGroup is restlessly pursuing new ways to operate our service centers,improve our service levels and help people lead healthier lives. We live forthe opportunity to make a difference and right now, we are living it up.This opportunity is with one of our most exciting business areas: Optum –agrowing part of our family of companies that make UnitedHealth Group aFortune 6 leader.Optum helps nearly 60 million Americans live their lives to thefullest by educating them about their symptoms, conditions and treatments;helping them to navigate the system, finance their healthcare needs and stay ontrack with their health goals. No other business touches so many lives in sucha positive way. And we do it all with every action focused on our shared valuesof Integrity, Compassion, Relationships, Innovation & Performance.When you are in the business of health care, you're in the business of people.At UnitedHealth Group we want every customer experience to bedistinctly personal. The challenge is complex. When people call us for help,their focus is on getting the best care possible. We help them understand theirbenefits and their options. This part of their lives matters a lot to them andit matters just as much to us. Our customer service teams have a seriousresponsibility to make every contact informative, productive, positive, andmemorable for what it says about how much we care.Under minimal supervision accepts and directs all incoming phone callsaccording to policy and procedures and department productivity and qualitystandards. Resolves routine to moderately complex issues, refers appropriatelyto Team Lead and / or Supervisor as needed.Primary Responsibilities: Answer in-coming calls from the Provider Inquiry Line and the Fraud Hotline Incoming calls can be from members and / or Providers questioning claim status, review status, appeal status and / or reporting of fraud Logging of all in-coming calls in a Call Tracking Documentation System Maintains accuracy standards of 97% or greater Maintains adherence standards of 95% or greater Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance Works independently and as part of a team Act as a resource for others
Required Qualifications: High School Diploma / GED (or higher) 2+ years of experience within the Healthcare, Claims, or Insurance industries 2+ years of Customer Service / Call Center experience Moderate proficiency with Microsoft Excel (data entry, reporting, data analysis)Preferred Qualifications: Bachelor's Degree (or higher) Knowledge of Medical TerminologyUnitedHealth Group is a team of more than 260,000 people who are building career success through commitment, compassion and a desire to make a difference. Join us. Learn more about how you can start doing your life's best work.SMCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SMDiversity 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.Keywords: Senior Healthcare Call Center Representative, Eden Prairie, MN, Healthcare, Claims, Insurance, customer service, call center, Excel
Internal Number: 748131
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.