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Positions in this function are responsible for providing expertise and customer service support to members, customers, and / or providers. Direct phone-based customer interaction to answer and resolve a wide variety of inquiries. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.
Perform all types of complex adjustments and closed, denied, and simple adjustments
Meet Quality, Productivity and Attendance requirements
Ensure Provider Satisfaction through:
Maintaining accurate documentation in ORS
Providing assistance to Providers with status updates
Being responsible for any follow - up work needed for resolving and closing issues
Identifying and resolving anticipated Provider issues to prevent future calls
Maintain proficiency in all technical applications (technical skills and system knowledge)
Comply with all current policies, procedures and workflows
Able to work with various technologies, including smart phones, personal computers, etc.
Extensive work experience, possibly in multiple functions.
Work does not usually require established procedures.
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.