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 impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the 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 – a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.
helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
Under minimal supervision this position is responsible for responding to referral requests generated via computer, fax or telephone. Answers all incoming calls via Automatic Call Distribution and making outbound calls to obtain demographic, referral information, verify insurance eligibility, benefits and obtain authorization as needed. Here, you'll join us on a mission to deliver the best customer service in the health care industry. 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
Ability to handle 35+ calls and 15+ referrals during an 8 hour shift, facilitating a positive patient experience
Maintain 98% accuracy on all patient documentation and referral information in patients account
Obtains prior authorization and secures co-pay as defined by policy
Routes referral and patient information to the appropriate venue and notifies referral source of disposition when unable to accept referral
Resolves questions and problems, and refers only the most complex issues to higher levels
Adhere to all written policy and procedures
Provides mentorship to other representatives during introductory period
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.
High school diploma / GED (or higher) OR equivalent work experience
2+ years of experience with customer service
Knowledge of Medicare, HMO and standard insurance verification processes
Windows computer systems skills and ability to learn new programs as required
Call Center experience in a healthcare office
Medical terminology, ICD coding or CPT coding
Knowledge of durable medical equipment (DME)
OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.
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.
is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Keywords: Customer Service Representative, Las Vegas, NV, Nevada
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