LHI Bilingual Spanish Customer Service Representative - Miami, FL Telecommute
January 10, 2018
Position Description:At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans.By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system. LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on-location services, patient-specific in-clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services. There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.Thisposition requires ACHA Level II Background checks (fingerprinting) by the Stateof Florida for all Clinicians that have face-to-face contact with members andwill require renewal every five years.Please Note: In order to be considered for this position, you must be able to obtain an SF86 Position of Trust which is only available to U.S. Citizens. Our Facilities Security Officer will initiate this process post-offer acceptance. Failure to obtain this will result in termination from this role.Primary Responsibilities: Support the continuum of care for TRICARE Beneficiaries byscheduling a variety of medical services in accordance with customeravailability, Military Treatment Facility (MTF) capabilities and contractguidelines.Respond to a variety of inquiries and resolves issues withregard to TRICARE eligibility in a timely manner while maintaining sensitivitytoward military culture.Conduct customer contacts related to beneficiary support,referral follow-up, education and resource inquiries primarily for the Spanishspeaking community.Identify potential emergent concerns and follow contractspecific protocol connect beneficiaries to the TRICARE NAL clinical team.Maintain constant awareness of service level and queuestatus in order to meet contractual requirements.Support the continuum of care related to Global Nurse AdviceLine contacts
Required Qualifications: High School Diploma / GED (or higher) Bilingual with English and Spanish (must be proficient) Customer service experienceAbility to create, copy, edit, save and send documents utilizing Microsoft Word, Microsoft Excel, and Microsoft Outlook A private designated work space and high speed internetComfortable working one or more of the following shifts with weekends and holidays possible = 1st shift – comfortable working an 8 hour shift between hours of 5:00am-6:30pm. 2nd shift – comfortable working an 8 hour shift between hours of 12:00pm-10:00pm. 3rd shift – comfortable working an 8 hour shift between hours of 6:00pm-9:30am United States Citizenship Ability to obtain favorable adjudication following submission of Defense Health Agency eQuip Form SF86Preferred Qualifications: Experience working in the Healthcare Industry Experience working with Medicaid or Medicare Experience working in a call center environment Prior military or TRICARE Beneficiary experience Careers with Optum. Here's the idea. We built an entire organizationaround one giant objective; make the health system work better for everyone. Sowhen it comes to how we use the world's large accumulation of health-relatedinformation, or guide health and lifestyle choices or manage pharmacy benefitsfor millions, our first goal is to leap beyond the status quo and uncover newways to serve. Optum, part of the UnitedHealth Group family of businesses,brings together some of the greatest minds and most advanced ideas on wherehealth care has to go in order to reach its fullest potential. For you, thatmeans working on high performance teams against sophisticated challenges thatmatter. Optum, incredible ideas in one incredible company and a singularopportunity to do your life's best work.Diversity creates a healthier atmosphere:UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employerand all qualified applicants will receive consideration for employment withoutregard to race, color, religion, sex, age, national origin, protected veteranstatus, disability status, sexual orientation, gender identity or expression,marital status, genetic information, or any other characteristic protected bylaw. UnitedHealth Group is a drug-free workplace.Candidates are required to pass a drug test before beginning employment.Keywords: UHG, Miami, Healthcare, Customer Service, Bilingual, Spanish
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.