Job Simplification

The announced job offer is made public by the firm: UnitedHealth Group and it was included in jobs list the date of: 2022-10-22 in the website greenenergyjobsonline.com.

It is announced that they have a job offer at the category of Array and the jobs location is in the state of New York at the city New York, in the country US - at this current ZipCode: 10261

The information residing in this page is not directly announced by our websites, we help users in the intent of finding the jobs they want and redirect them back to jobs8 for apropriate applying to any of the jobs listed on www.greenenergyjobsonline.com.

Job Overview

UnitedHealth Group is hiring Customer Service Representatives!

Benefits:

Competitive compensation
UHG paid training
UHG paid state licensing
Medical/dental/vision insurance

A Customer Service Representative is a single point of contact for consumers for all things related to health and wellness benefits. A Health Care Advisor helps members navigate the health care system; including helping with claim and benefits questions, helping members find quality doctors and schedule appointments; connecting consumers with health and wellness resources; and coaching members to make better health choices by providing education. A Health Care Advisor creates an ongoing and lasting impression of the Optum consumer experience.

Responsibilities:

Handle inbound and outbound calls with an emphasis on excellent customer service in a call center environment
Take responsibility for addressing member issues, questions, concerns, and see them through to resolution
Respond to members and providers in a polite and courteous manner, with patience, empathy, care, compassion, and sincerity in voice tone and pace
Assist members with medical and pharmacy benefits, medical plan overview, behavioral health inquiries, claims, provider search and prior authorization
Provide member education on HSA, FSA, HRA, and other financial accounts
Serve as a Health Care Advisor, going above and beyond for consumers, creating a memorable consumer experience, and providing expert, proactive service to members by: Finding creative ways to do more than what the member expects; Delighting each member by meeting their unexpressed needs; Leaving each person feeling confident and cared for
Provide services such as:
- Education to help simplify the healthcare system and validate members understanding of next best actions
- Advise members in choosing healthcare providers that meet and exceed consumer needs
- Educate members on clinical and wellness resources they can take advantage of to manage a health condition/disease or reach a wellness goal
- Provide education to members to assist in understanding benefits, terminology, claim resolution and Explanation of Benefit interpretation
- Serve as an advocate by responding to, resolving, and escalating complex claim issues with internal and external resources
- Initiate telephone calls to internal sources, membership, providers, and other claim payers to gather data and determine resolution to claim issues
- Refer qualified members into Wellness and clinical programs
- Solve problems systematically, using sound business judgment, and following through on commitments
- Consistently meet established productivity, schedule adherence, meeting metric expectations, and quality audit standards
- Work with cross carries to ensure member follow up and resolution (cross carrier functions)
- Work with providers and plans to help ensure critical info is being relayed timely between the plan and the provider
- Support multiple clients and their individual expectations
- Help establish patient appointments for the first time visit to the PCP
- Provide community resources once internal resources have been exhausted (e.g. Financial assistant programs, Medical assistant program resources)
- Work with Network management to ensure panel request are up to date and when providers are not confirming to the contract (e.g. balance billing)