Customer Service Representative - Dallas, United States - Companalyst

Description

Customer Service Representative - Remote in UnitedHealth Group

**Customer Service Representative - Remote**

POSTED ON 2/8/2022 AVAILABLE BEFORE 8/7/2022 UnitedHealth Group Dallas, TX Remote Full Time Job Posting for **Customer Service Representative - Remote** at **UnitedHealth Group** You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a **Customer Service and Claims Representative,** you'll join us on a mission to not only deliver the best customer service in the health care industry, but the best customer service. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing **your life's best work. SM****Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.**

**Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want - apply today We provide the support and structure, you provide the interest and motivation.**

In this role, you play a critical role in creating a quality experience for the callers that you connect with and those that you correspond with. Every interaction gives you that opportunity to improve the lives of our customers and exceed their expectations. You'll spend the majority of your day by responding to calls from our members and help answer questions and resolve issues regarding health care eligibility, claims and payments. You'll also spend a portion of your time reviewing, researching and processing healthcare claims with the goal to ensure that every claim has a fair and thorough review.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:30am - 7:00pm EST). It may be necessary, given the business need, to work occasional overtime.

**All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.*

**Primary Responsibilities:**

Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)

Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems

Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member

Review and research incoming healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)

Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan

documents/certificates)

Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding

Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendance

Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

**Required Qualifications:**

High school diploma / GED (or higher) OR 10 years of equivalent working experience

All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material

Ability to work Monday - Friday, 8:30am - 7:00pm EST

**Preferred Qualifications:**

1 years prior experience in an office setting, call center setting or phone support role

**Telecommuting Requirements:**

Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Ability to keep all company sensitive documents secure (if applicable)

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

***UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.***

**Military & Veterans find your next mission:** We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible.

**Careers with UnitedHealthcare****your lifes best work.SM**

**Colorado, Connecticut or Nevada Residents Only:** The salary range for Colorado residents is $ $22.02. The salary range for Connecticut / Nevada residents is $ $24.13. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives

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, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class, admin, clerk, cashier, retail, entry level, retail sales, hostess, waitress/waiter, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

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