Position Description:Welcome to one of the toughest and most fulfillingways to help people, including yourself. We offer the latest tools, mostintensive training program in the industry and nearly limitless opportunitiesfor advancement. Join us and start doing your life's best work. Primary Responsibilities:Assist all customers (members, providers, payors, etc.) with all inquiriesResponds to telephone inquiries related to claims processing and eligibility information in a professional manner while displaying empathy toward the callers concernInterprets pricing and benefit documents to ensure accurate responses to callsForwards issues, attaching all necessary documentation, to the appropriate internal departments to ensure the correction of inaccurately processed claims, i.e.; Appeals, UM, Claims, etc.Plans and organizes workload to ensure efficient and timely resolution of issues
Required Qualifications:High School Diploma / GEDCandidates must be able to work a day shift schedule, 40 hours per week, Monday through Friday.Candidates must have experience directly related to opticianryPreferred Qualifications: Bilingual and fluent in English and SpanishCustomer service experience in a medical claims processing environmentWorking knowledge of CPT, ICD - 9 coding, medical terminology and HCFA 1500 claim formatsWorking knowledge of CMS (HCFA) and DMHC guidelinesAbility to interpret pricing and benefit documentsExperience with HIPAAKnowledge of standard billing practicesCompletion of an accredited optical programSoft Skills:Excellent communication skillsStrong organizational and prioritization skillsAbility to retain composure in stressful situationsAbility to read with attention to detailCareers with MARCH® Vision Care. Now this is a place where you can bring your compassion and desire to innovate. MARCH® Vision Care was built with a groundbreaking platform in mind for delivering quality vision care — one that not only focuses on early disease detection, but also uses state - of - the - art technology to help improve communication between members and their doctors. As part of the UnitedHealth Group family of businesses, we specialize in the administration of vision care benefits for managed care organizations, specifically for government sponsored programs such as Medicaid, Medicare, Medicare - Medicaid Plans, and Healthcare Exchange. Join our team and you'll quickly realize this is the 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: UHG, Los Angeles, customer service, telephonic, optician, issue resolution, MARCH VISION
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.