Position Description: 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. Optum 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 and Performance.The Senior Customer Service Representative is responsible for handling all incoming Billing and Eligibility phone calls and for serving as the primary customer interface for departmental inquiries.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.Primary Responsibilities:Ensures quality customer service for internal and external customersResponds to incoming customer service requests, both verbal and writtenIdentifies and assesses customers' needs quickly and accuratelySolves problems systematically, using sound business judgmentPartners with other billing and eligibility department representatives to resolve complex customer service inquiriesMonitors delegated customer service issues to ensure timely and accurate resolutionApplies appropriate communication techniques when responding to customers, particularly in stressful situationsInforms and educates new customers regarding billing / invoicing set up and billing / payment proceduresPlaces outgoing phone calls to complete follow-up on customer service requests as necessaryResponds to customer service inquiries in writing as necessaryProcesses member terminations (i.e. phone dis - enrollment)Establishes and demonstrates competency in eligibility, billing, and receivable systems and associated applicationsImplements customer service strategies and recommends related improvements / enhancementsMaintains timely, accurate documentation for all appropriate transactionsMakes corrections and adjustmentsConsistently meets established productivity, schedule adherence, and quality standardsProactively seeks to further develop billing and accounts receivable competenciesKeeps management abreast of all outstanding issuesAdapts procedures, processes, and techniques to meet the more complex position requirementsParticipates in load balancingAddresses special (ad - hoc) projects as appropriateSeeks involvement in continuous quality improvement initiativesEnsures quality customer service for internal and external customersInbound phone calls to analyze responses from members and identify subrogation potential for reviewRefer files to analysts to review for further investigation and savingsAdditional project work as neededExtensive work experience within own functionWork is frequently completed without established proceduresWorks independentlyMay act as a resource for othersMay coordinate others' activities
Required Qualifications:High School Diploma / GED or higher Familiarity with a computer and Windows PC applications, which includes the ability to learn new and complex computer system applicationsAvailable to work 40 hours per week anytime within the operating hours of the site (10:30 AM - 7:00 PM Monday through Friday)Preferred Qualifications:1+ years of prior experience in an office setting, call center setting, or phone support roleExperience with Microsoft Word (create and edit documents) and Microsoft PowerPoint (create and send presentations)Soft Skills:Ability to navigate a computer while on the phonePhysical Requirements and Work Environment:Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computerService center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity Careers 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. 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.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: customer service representative, customer service, CSR, sales, outbound calls, Optum, UnitedHealth Group, call center, health care, office, phone support, training class, Senior, SR
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.