UnitedHealth Group

Doing your best. That's what we want you to do in this role. Even if you don't have experience, we provide the training and support for you to start your career as a Customer Service Specialist - Provider. Apply today - training classes start soon! You're looking for a place where you will be empowered to be your best. When you join UnitedHealthcare 's Provider Services Group, you'll be part of a team committed to reshaping the way health care works for millions. 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. You won't just provide customer service; you'll change health care for the better starting with every health care provider you talk to. Your commitment to supporting them will directly translate into better care for their patients. And you'll be well supported with the latest tools and training classes to set you up for success. Don't wait to join us! There's never been a better time than now to start doing your life's best work. sm As a Customer Service Specialist - Provider , you'll be empowered to conduct outreach to our health care providers in order to validate critical data and obtain updated data when necessary. You will place outbound calls (approximately 30-50 a day) to our health care providers, and you will perform immediate and accurate data entry to systems which update our online health care provider directories. Apply today - we have training classes starting soon that are designed to set you up for success! 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 (8:00am to 6:30pm). Employees may select a scheduled starting time between 8:00am - 9:30am after training has successfully been completed. It may be necessary, given the business need, to work occasional overtime. Our office is located at 5900 Parkwood Place, Dublin, OH 43016. There are several steps in our hiring process - it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an on-line pre-screening test(s) (or what we call an assessment) that we ask you to complete as part of our selection process. You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail. Primary Responsibilities: Place outbound calls to our health care providers offices to validate critical data and obtain updated data when necessary Follow call scripting to obtain information from Office Managers Perform immediate and accurate data entry to systems which update our online health care provider directories Answer inbound calls from our health care providers who are responding to a voicemail we have left for them Respond to voice mail messages from health care providers in a timely and accurate manner Deliver all information and questions in a positive, conversational and compassionate manner to facilitate developing a relationship with the provider, while providing the best customer service experience possible Meet the department quality and production metrics Qualifications: Prefer 1 year prior experience in an office setting, call center setting or phone support role, but not required An education level of at least a high school diploma or GED OR 10 years of equivalent working experience Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs Ability to navigate a computer while on the phone Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product Ability to remain focused and productive each day though tasks may be repetitive Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material Helping create positive customer experiences for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.SM Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. SM 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, Provider Services, health care, office, phone support, training class

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing **your life's best work.(sm)** UnitedHealth Group is seeking talented individuals for our Part Time OB Home Care RN opportunities. We are delivering services across the entire continuum of maternal-newborn care. Our elite team of OB Nurses is growing and we want YOU to join this dynamic and exciting group. Enjoy a flexible Part Time opportunity while providing compassionate care to high-risk moms in-home and telephonically. **Will work at least 20 hours per week** If you are located in Towson, MD _,_ you will have the flexibility to telecommute* as you take on some tough challenges. **Benefits include:** + Flexible work schedule + Mileage reimbursement + Competitive compensation + Focus on one-on-one patient teaching + Being able to support our moms at a very difficult time in their lives **Primary Responsibilities:** + Provide skilled nursing care for expectant mothers in the home care environment + Travel to provide in-home patient care and continuous education to patients and family members + Continually assess the mothers' condition to ensure they are safe in the home environment + Modify the plan of care, as appropriate, based upon reassessment, change in prescriber orders, the patient's need for further care or services and the achievement of identified goals + Establish trust and build long term relationships with expectant mothers + Provide clinical support to key physicians / hospitals upon request **Required Qualifications:** + RN required in the state that you reside (must be active and unrestricted) + 1+ years of labor and delivery or obstetrical nursing experience (high risk perinatal, antepartum) + Ability to utilize Windows 7 programs to include Word, Email and Internet + Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area **Preferred Qualifications:** + BSN + Home care experience + 3+ years' experience in labor and delivery or obstetrical nursing (high risk perinatal, antepartum) + IV infusion competency If the hired individual resides in Florida (office based or telecommuting) this position requires the AHCA Level II background check (fingerprinting) by the State of Florida for all clinicians that have direct face to face contact with members OR employees who will have access to confidential patient data and will require renewal every five years. **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.(sm)** *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy _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._ Job Keywords: RN, Registered Nurse, Per Diem, Home Visit, OB, OB Nurse, High Risk, expectant mothers, Home Care, L & D, Labor and Delivery, Perinatal, Antepartum, UHG, UnitedHealth Group, Optum, Towson, MD

Training classes start soon - apply today! The world is a more interesting place when you can see it through someone else's eyes. Bring your empathy and compassion to a role that will bring out your best everyday. UnitedHealthcare , part of the UnitedHealth Group family of businesses, can provide you with some of the best training and tools in the world to help build relationships and serve our existing and new customers. You'll take as many as 50 - 70 calls per day from customers who have questions about their health benefits. As their advocate, you'll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity. Join us and discover how you can take your career to a new level. 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 (8am - 6pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 7440 Woodland Drive, Indianapolis, IN 46278. There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding next steps including any pre - employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: Primary Responsibilities Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Educate customers about the fundamentals and benefits of consumer-driven health care, guiding them on topics such as selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating myuhc.com and other UnitedHealth Group websites while encouraging and guiding them towards becoming self-sufficient in using these tools This role is equally challenging and rewarding. You'll be spending long periods of time on the phone and called on to research complex issues pertaining to the caller's health, status and potential plan options. To do this, you'll need to navigate across multiple databases which require fluency in computer navigation and toggling while confidently and compassionately engaging with the caller. Required Qualifications High school diploma or GED OR equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Preferred Qualifications 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Prior health care experience Soft Skills Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner Proficient in translating health care - related jargon and complex processes into simple, step - by - step instructions customers can understand and act upon Proficient conflict management skills to resolve issues in a stressful situation Helping create positive customer experiences for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work. SM Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. SM 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. Key words: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, healthcare, office, phone support, training class, advocate

Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360 . We're a dynamic new partnership formed by Quest and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group , we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work . In an environment where the patient is at the center of everything we do, the Billing Customer Service Representative will assist the department supervisor by performing combinations of the following activities: Coordinate and maintain work flow, auditing and quality control of work competed in the department, able to handle escalated issues with both internal and external customers, and train team members within the department. May be asked to give employee performance input. Primary Responsibilities: Work with IT to obtain new users ID's and functions, identify issues and open tickets as needed Maintain department training documentation Effectively communicates with superiors, peers, billing reps, and others, as appropriate, on regular basis, assuring proper flow of information Assist in documenting standard operating procedures for the department Assist in resolving problems relating to all areas of Revenue Cycle Management Assure appropriate employee production by working with superiors Provide contingency plans for employee vacations and absences Respond to escalated calls and assures that appropriate action is taken for resolution Provide input and guidance to staff members in order to ensure continuous improvement in processes which will improve customer service Maintain all Compliance and HIPAA regulations at all times Perform miscellaneous duties as assigned Required Qualifications: High School Diploma / GED (or higher) 2+ years of medical billing operational department 2+ years of call center experience Data entry experience (entering customers' information) Experience using Microsoft Excel (ability to create a professional looking spreadsheet, add worksheets, copy / paste, sort, freeze, hide cells, sum, create and add / delete columns) Preferred Qualifications: Customer service experience Ability to type at least 45 words per minute Experience with 10 - key preferred Soft Skills: Excellent verbal and written communication skills Excellent customer service skills Demonstrated problem solving skills Good organizational skills Ability to multi - task, including the ability to type while talking on the phone Ability to work independently and as part of a team Ability to work overtime as needed, based on department needs Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work. SM 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, call center, health care, office, phone support, billing experience

Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast growing environment. Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealth Group. Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. You'll take as many as 50-70 calls per day from customers who have questions about their health benefits. As their advocate, you'll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity. 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 (7:00am to 10:00pm). Most new hires will work the 1:30pm - 10:00pm shift after training. It may be necessary, given the business need, to work occasional overtime. Our office is located at 5150 Regent Blvd, Irving, TX 75063. Primary Responsibilities Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to the caller's health, status and potential plan options. To do this, you'll need to navigate across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller. Required Qualifications Spanish Bilingual Required High school diploma, GED or equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon Proficient conflict management skills to resolve issues in a stressful situation Preferred Qualifications 1+ years of customer service experience Prior health care experience UnitedHealth Group is a team of more than 200,000 people who are building career success through commitment, compassion and a desire to make a difference. Join us. Learn more about how you can start doing your life's best work. SM Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. SM 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. Key words : customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work . Training classes start soon apply today! Primary Responsibilities: Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends Moderate work experience within own function Some work is completed without established procedures Basic tasks are completed without review by others Supervision / guidance is required for higher level tasks Requirements: High School Diploma / GED (or higher) OR 8 years of equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner The schedule is 8:30 am - 5:00 pm Monday - Friday, 1 full week of classroom training and a second week of individual training working with a senior companion. Must be willing to work an 8.5 hr shift between 8:00 am - 7:00 pm Monday - Friday, plus a Saturday rotation every 6 - 8 weeks (Will have one weekday off when they work Saturday). Can work 8 hours on Saturday from 9 am - 5:30 pm, or work 5 hours on Saturday and 3 extra hours during the week Preferred Qualifications: 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Prior health care experience Soft Skill: Skilled in problem solving to quickly assess current state and formulate recommendations OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life's best work. SM 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: UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Jeffersonville, Louisville

Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's challenging. And addressing the challenges is being led by companies like UnitedHealth Group . Now, you can take advantage of some of the best training and tools in the world to help serve our members. You'll handle 50-70 calls per shift, always remembering to bring compassion and a sense of engagement to enhance the customer experience. This role is equally challenging and rewarding. You'll interact with customers continuously by phone and in writing. Within a high-volume setting, you'll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers. 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. Primary Responsibilities: Ensure quality customer service for internal and external customers with focus on needs identification, problem solving and partnering with billing and eligibility specialists Monitor delegated customer service issues to ensure timely and accurate resolution Use appropriate communication techniques when responding to customers, particularly in stressful situations Inform and educate new customers regarding billing/invoicing set up and billing/payment procedures Place outgoing phone calls to complete follow-up on customer service requests as necessary Apply knowledge/skills to complex activities Demonstrate a depth and breadth of knowledge/skills in own area and is often able to apply these outside of own function Often acts as a technical resource to others in own function Anticipate customer needs and proactively identifies solutions Solve complex problems on own; proactively identifies new solutions to problems Plan, prioritize, organize and complete works to meet established objectives Act as a facilitator to resolve conflicts on team; seen as key team member on project teams spanning more than own function Demonstrate understanding of internal/external factors that may drive caller questions/issues (e.g., recent plan changes, mass mailings, call directing/rerouting, weather emergencies) Ask appropriate questions and listen actively to identify underlying questions/issues (e.g., root cause analysis) Gather appropriate data/information and perform initial investigation to determine scope and depth of question/issue Identify and coordinate internal resources across multiple departments to address client situations and escalate to appropriate resources as needed Proactively contact external resources as needed to address caller questions/issues (e.g., providers, labs, brokers) Utilize appropriate knowledge resources to drive resolution of applicable questions/issues (e.g., websites, knowledge bases, product manuals, SharePoint) Identify and communicate steps/solutions to caller questions/issues, using appropriate problem-solving skills and established guidelines, where available (e.g., workarounds, descriptions of relevant processes) Offer additional options to provide solutions/positive outcomes for callers (e.g., online access to relevant information, additional plan benefits, workarounds for prescription delays) Make outbound calls to resolve caller questions/issues (e.g., to callers, providers, brokers, pharmacies) Drive resolution of caller questions/issues on the first call whenever possible (e.g., first-call resolution, one-and-done) Ensure proper documentation of caller questions/issues (e.g., research conducted, steps required, final resolution) Required Qualifications: High School Diploma / GED (or higher) 3+ years of customer service experience analyzing and solving customer problems OR 3+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications. Ability to work any 8 hour shift between the hours of 8:00 a.m. - 8:00 p.m. EST Soft Skills: Ability to multi-task including ability to understand multiple products and multiple levels of benefits within each product Demonstrated ability in customer service problem resolution and relationship building. OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing 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: Call Center, Customer Service, escalation, health insurance, UnitedHealth Group, UHG, Optum

Training classes start soon - apply today! You've heard this all your life. Trust matters. Being trusted matters a lot. Here at OptumRX we've earned the trust of more than 65 million people who rely on us for the prescription drugs that improve their health and lifestyle. Now, we trust that you can take advantage of some of the best training and tools in the world to help serve our customers and their care providers. You'll take as many as 50-70 calls per day from members who have questions about their prescriptions and you'll use your personality and our tools to make each call successful. This is no small opportunity. This is where you can bring your compassion for others while building your career. This position is full-time (40 hours/week) Sunday - Saturday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (4:00am-11:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 4805 E Thistle Landing Drive, Suite 100 D, Phoenix, AZ 85044. Primary Responsibilities Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries Ask appropriate questions and listen actively while documenting required information in computer systems Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders Make outbound calls to customers on prescription orders and payment issues This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to member prescription and/or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller. To learn even more about this position and hear from our other Pharmacy Customer Service Representatives, click here to watch a short video : Required Qualifications High school diploma or GED OR equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner Preferred Qualifications 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Helping create positive customer experiences for providers and our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.SM Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. SM 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. Key words: UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Pharmacy, PBM, Pharmacy Benefit Management, inbound calls, Call Center

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 & Performance. In an environment where the patient is at the center of everything that we do the individuals in this position typically works with Billing Representatives and other employees handling complex billing issues for the purpose of collecting revenue for the organization. Will work with Patient, Client and / or Third Party insurance bills. Primary Responsibilities: Handle high call volume inbound and outbound to patients, clients and insurance companies Verify eligibility for patients Understand multiple Insurance companies and products Retrieve accurate missing information for processing of a medical claim Work various reports of what's holding in billing Research issues via multiple tools (including internet) Escalate issues, errors and trends to the Team Leader or Supervisor appropriately Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards Maintain confidentiality of information that is pertinent to Quest Diagnostics Other duties as assigned Required Qualifications: High School Diploma or GED or higher 1+ years of customer service experience in a call center environment 6+ months experience using a computer and Windows PC applications, which includes the ability to learn new and complex computer system applications 6+ months of work experience in a medical environment working with 3rd party insurance, Medicare or Medicaid Soft Skills: Candidate should be driven to meet goals and to drive improvement Must be able to multi - task and ensure all deliverables are met timely Must have excellent written and oral communication skills Should be able to work as part of a team and work well independently Physical 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 computer Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place 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: billing, inbound, medical, client, patient, insurance, outbound

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Positions in this function are responsible for providing expertise and customer service support to members as part of our UnitedHealthcare Advocate4Me model. Direct phone-based customer interaction to address complex member needs and provide recommendations on services that may help close gaps in care for the member and / or the member's family. May authorizes claims payments or refer claims to investigators for further review. Primary Responsibilities: Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence. Resolve member service inquiries related to: Medical benefits, eligibility and claims Terminology and plan design Financial spending accounts Pharmacy benefits, eligibility and claims Correspondence requests Educate members about the fundamentals of health care benefits including: Managing health and well being Maximizing the value of their health plan benefits Choosing a quality care provider and appointment scheduling Pre-authorization status Assist members in appointment scheduling to proactively address gaps in care Intervene with care on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance Maximizes use of community services, support programs, and resources available to member Extensive work experience within own function Work is frequently completed without established procedures Works independently May act as a resource for others May coordinate others' activities Required Qualifications: High School Diploma / GED (or higher) Experience in an office setting, call center setting or phone support role Bilingual fluency in English and Korean (speak, read, and write) Ability to work regularly scheduled shifts within hours of operation including the training period, where lunches and breaks are scheduled, with flexibility to adjust daily schedule, and work over-time, as needed Preferred Qualifications: Undergraduate Degree (or higher) Soft Skills: Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in respectful, timely manner, consistently meeting commitments) Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests and identify the current and future needs of the member Flexibility to customize approach to meet all types of member communication styles and personalities Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrating personal resilience Proficient problem-solving approach to quickly assess current state and formulate recommendations Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrating personal resilience Careers at UnitedHealthcare Employer & Individual . We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. SM 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, Korean, bilingual

Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast growing environment. Doing your best. That's what we want you to do in this role. Even if you don't have experience, we provide the training and support for you to start your career as a Customer Services Representative. Apply today - training classes start soon! If you share our all-in approach to people and service, excellence, you're going to be amazed at the things we're doing here at OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. As a member of one of our customer service teams, you'll be empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.SM As a Customer Service Representative , we'll empower you to deliver resolutions on simple to complex durable medical equipment and medical supply needs. Every day, you'll deliver an exceptional experience to between 25 to 35 callers, in a compassionate manner - always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. Every phone call gives you that opportunity to improve the lives of our customers and exceed their expectations. That is right; at OptumRX you will be a part of an elite team as you grow and develop at a pace that energizes your career and makes the most of your promise. 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 (8am - 5pm). It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 250 Progressive Way, Westerville, OH 43082. To learn even more about this position, hear from our other Customer Service Representatives in Ancillary Services. Click here to watch a short video: There are several steps in our hiring process - it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an on-line pre-screening test(s) (or what we call an assessment) that we ask you to complete as part of our selection process. You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail. Primary Responsibilities: Coordinate care for all services ordered by healthcare provider in order to meet the treatment needs of the member Own member referral from start to end. This includes coordination of medical supplies and/or equipment, coordination of home or office visits, follow-up communication, etc.) Review all medical treatment/health services documentation and verify all ordered services are rendered as prescribed by the ordering provider Handle all equipment orders, including simple durable medical equipment orders to monthly recurring medical supplies Create, maintain, and update patient records and associated schedules Verify the delivery of all ordered services, medical supplies and/or equipment to patients Conduct follow-up phone calls to patients, providers, physicians, adjustors, and other parties as needed; recognizing and resolving customer issues in a timely manner and escalating to leadership only as necessary Generate purchase orders authorizing services and medical supplies and/or equipment to our providers and ensures appropriate billing by entering accurate information into the system Maintains patient privacy and confidentiality under requirements of federal and state laws, including HIPAA, and in accordance with company policy. Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues. Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance Soft Skills: Ability to remain focused and be productive each day though tasks may be repetitive Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product Ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (in respectful, timely manner, consistently meeting commitments) Ability to actively listen, collect relevant information, prioritize requests and anticipate current/future member needs Ability to problem-solve, quickly identify member needs and make recommendations. Ability to translate healthcare-related jargon and complex processes into simple, step-by-step instructions members can understand and follow UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. 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: UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Pharmacy, PBM, Pharmacy Benefit Management, inbound calls, Call Center Requirements: Spanish Bilingual Required Prefer 1-year experience in an office setting, call center setting or phone support role but not required An education level of at least a high school diploma or GED OR 10 years of equivalent working experience Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed All new hires will be required to successful complete Customer Service training classes and demonstrate proficiency of the material

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! Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealth Group . Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. You'll take as many as 50-70 calls per day from customers who have questions about their health benefits. As their advocate, you'll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity. 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 (7:45 to 4:45). It may be necessary, given the business need, to work occasional overtime. Our office is located at 1132 Bishop Street, Suite 400, Honolulu, HI 96813 There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an e-mail with information regarding next steps including any pre-employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: Primary Responsibilities Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Initiate proactive outreach to members as needed, which may involve welcoming new members to our health plans, addressing gaps in care, reviewing coverage, and referring & enrolling them to internal specialists and programs based on their needs and eligibility Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to the caller's health, status and potential plan options. To do this, you'll need to navigate across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller. Required Qualifications High school diploma, GED or equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon Proficient conflict management skills to resolve issues in a stressful situation Preferred Qualifications 1+ years of customer service experience Prior health care experience UnitedHealth Group is a team of more than 200,000 people who are building career success through commitment, compassion and a desire to make a difference. Join us. Learn more about how you can start doing your life's best work. SM Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. SM 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. Key words : customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class

Training classes start soon - apply today! The world is a more interesting place when you can see it through someone else's eyes. Bring your empathy and compassion to a role that will bring out your best everyday. UnitedHealthcare , part of the UnitedHealth Group family of businesses, can provide you with some of the best training and tools in the world to help build relationships and serve our existing and new customers. You'll take as many as 50 - 70 calls per day from customers who have questions about their health benefits. As their advocate, you'll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity. Join us and discover how you can take your career to a new level. 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 (8am - 6pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 7440 Woodland Drive, Indianapolis, IN 46278. There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding next steps including any pre - employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: Primary Responsibilities Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Educate customers about the fundamentals and benefits of consumer-driven health care, guiding them on topics such as selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating myuhc.com and other UnitedHealth Group websites while encouraging and guiding them towards becoming self-sufficient in using these tools This role is equally challenging and rewarding. You'll be spending long periods of time on the phone and called on to research complex issues pertaining to the caller's health, status and potential plan options. To do this, you'll need to navigate across multiple databases which require fluency in computer navigation and toggling while confidently and compassionately engaging with the caller. Helping create positive customer experiences for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work. SM Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. SM 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. Key words: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, healthcare, office, phone support, training class, advocate Required Qualifications High school diploma or GED OR equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Preferred Qualifications 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Prior health care experience Soft Skills Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner Proficient in translating health care - related jargon and complex processes into simple, step - by - step instructions customers can understand and act upon Proficient conflict management skills to resolve issues in a stressful situation

Training classes start soon - apply today! You've heard this all your life. Trust matters. Being trusted matters a lot. Here at OptumRX we've earned the trust of more than 65 million people who rely on us for the prescription drugs that improve their health and lifestyle. Now, we trust that you can take advantage of some of the best training and tools in the world to help serve our customers and their care providers. You'll take as many as 50-70 calls per day from members who have questions about their prescriptions and you'll use your personality and our tools to make each call successful. This is no small opportunity. This is where you can bring your compassion for others while building your career. This position is full-time (40 hours/week) Monday- Sunday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (6:00am to 6:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 7159 Corklan Drive, Jacksonville, FL. Primary Responsibilities Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries Ask appropriate questions and listen actively while documenting required information in computer systems Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders Make outbound calls to customers on prescription orders and payment issues This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to member prescription and/or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller. To learn even more about this position and hear from our other Pharmacy Customer Service Representatives, click here to watch a short video: Required Qualifications High school diploma or GED OR equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner Preferred Qualifications 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Helping create positive customer experiences for providers and our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.SM UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. 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. Key words : UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Pharmacy, PBM, Pharmacy Benefit Management, inbound calls, Call Center

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! Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealth Group. Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. You'll take as many as 50-70 calls per day from customers who have questions about their health benefits. As their advocate, you'll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity. 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 (7:00am to 10:00pm). Most new hires will work the 1:30pm - 10:00pm shift after training. It may be necessary, given the business need, to work occasional overtime. Our office is located at 5150 Regent Blvd, Irving, TX 75063. Primary Responsibilities Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to the caller's health, status and potential plan options. To do this, you'll need to navigate across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller. Required Qualifications High school diploma, GED or equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon Proficient conflict management skills to resolve issues in a stressful situation Preferred Qualifications 1+ years of customer service experience Prior health care experience UnitedHealth Group is a team of more than 200,000 people who are building career success through commitment, compassion and a desire to make a difference. Join us. Learn more about how you can start doing your life's best work. SM Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. SM 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. Key words : customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class

Great jobs start with great training and our next class is starting soon. Apply today. This is your chance to take your customer service career to the next level. At Optum , we're changing the way health care works for the better and we want motivated people like you to join us. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work. SM As a Customer Service Representative , you'll compassionately deliver an exceptional experience to between 50 to 70 callers per day, always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. You'll also provide support to your team members by serving as a resource or subject matter expert. Both of these are opportunities for you to identify and exceed our customer expectations by committing to and building strong relationships internally and externally. At the end, you'll know you performed with integrity and delivered the best customer service experience making all your customers and team members feel better because they talked to you. 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 (7:00am - 7:00pm). The starting shift for new hires will be 10:30am - 7:00pm after the 10 week training session. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 3100 AMS Blvd, Green Bay, WI. There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an email with information regarding next steps including any pre-employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: Primary Responsibilities: Serve as a resource or Subject Matter Expert (SME) for other team members or internal customers Handle escalated calls, resolving more complex customer issues in a one and done manner 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 Intervene with care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed Assist customers in navigating UnitedHealth Group websites and encourage and reassure them to become self-sufficient Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues Provide education and status on previously submitted pre-authorizations or pre-determination requests Meet the performance goals established for the position in the areas of: efficiency, call quality, provider satisfaction, first call resolution and attendance Required Qualifications: 1 year Customer Service Representative (CSR) experience or 1 year experience in an office setting, call center setting or phone support role preferred, but not required An education level of at least a high school diploma or GED OR 10 years of equivalent working experience Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed All new hires will be required to successful complete the Customer Service training classes and demonstrate proficiency of the material 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. SM 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, Optum, health care, office, phone support, training class, SME, Senior, SR

Join Us for Our Job Fair Tuesday, March 12, 2019 and Wednesday, March 13, 2019 from 1:00pm to 7:00pm Hosted at the Crowne Plaza Columbus North-Worthington Hotel 6500 Doubletree Avenue Columbus, OH 43229 Click Here to pre-register for the event We strongly encourage you to apply in advance of the event if you are interested in this opening. Attendance at the event isn't required to be a candidate for potential employment. Doing your best. That's what we want you to do in this role. Even if you don't have experience, we provide the training and support for you to start your career as a Customer Services Representative. Apply today - training classes start soon! If you share our all-in approach to people and service, excellence, you're going to be amazed at the things we're doing here at OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. As a member of one of our customer service teams, you'll be empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.SM As a Customer Service Representative , we'll empower you to deliver resolutions on simple to complex durable medical equipment and medical supply needs. Every day, you'll deliver an exceptional experience to between 25 to 35 callers, in a compassionate manner - always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. Every phone call gives you that opportunity to improve the lives of our customers and exceed their expectations. That is right; at OptumRX you will be a part of an elite team as you grow and develop at a pace that energizes your career and makes the most of your promise. 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 (8am - 8pm). It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 250 Progressive Way, Westerville, OH 43082. To learn even more about this position, hear from our other Customer Service Representatives in Ancillary Services. Click here to watch a short video: There are several steps in our hiring process - it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an on-line pre-screening test(s) (or what we call an assessment) that we ask you to complete as part of our selection process. You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail. Primary Responsibilities: Coordinate care for all services ordered by healthcare provider in order to meet the treatment needs of the member Own member referral from start to end. This includes coordination of medical supplies and/or equipment, coordination of home or office visits, follow-up communication, etc.) Review all medical treatment/health services documentation and verify all ordered services are rendered as prescribed by the ordering provider Handle all equipment orders, including simple durable medical equipment orders to monthly recurring medical supplies Create, maintain, and update patient records and associated schedules Verify the delivery of all ordered services, medical supplies and/or equipment to patients Conduct follow-up phone calls to patients, providers, physicians, adjustors, and other parties as needed; recognizing and resolving customer issues in a timely manner and escalating to leadership only as necessary Generate purchase orders authorizing services and medical supplies and/or equipment to our providers and ensures appropriate billing by entering accurate information into the system Maintains patient privacy and confidentiality under requirements of federal and state laws, including HIPAA, and in accordance with company policy. Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues. Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance Requirements: Prefer 1-year experience in an office setting, call center setting or phone support role but not required An education level of at least a high school diploma or GED OR 10 years of equivalent working experience Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed All new hires will be required to successful complete Customer Service training classes and demonstrate proficiency of the material Soft Skills: Ability to remain focused and be productive each day though tasks may be repetitive Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product Ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (in respectful, timely manner, consistently meeting commitments) Ability to actively listen, collect relevant information, prioritize requests and anticipate current/future member needs Ability to problem-solve, quickly identify member needs and make recommendations. Ability to translate healthcare-related jargon and complex processes into simple, step-by-step instructions members can understand and follow UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. 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: UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Pharmacy, PBM, Pharmacy Benefit Management, inbound calls, Call Center

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing **your life's best work.(sm)** *****This is a telecommuter position, but it does require local travel to office locations throughout the area. If you are located in the Boston area you will have the flexibility to telecommute* as you take on some tough challenges***** **Primary Responsibilities:** Main responsibilities are to perform / support clinical appeals with additional responsibilities to include: + Attending appeals hearings on a case to case basis + Determines medical appropriateness of provider services following evaluation of medical + Responsible for performing prior authorization review of services that require notification, using applicable benefit plan documents, evidence - based medical policy and state specific recognized clinical guidelines and criteriaguidelines and benefit determination + Interacts with providers to obtain clinical information to support the appeals process and prior authorization determinations and provide support for their questions + Evaluate applicability of community resources/government programs / LTSS provider services to member needs + Navigate relevant computer systems to identify internal and external resources **Required Qualifications:** + Active, unrestricted RN license in the state of MA + 5+ years of experience in clinical nursing, PA / UM or working with individuals receiving LTSS services + Experience in Appeals and / or Utilization Management + Medicaid Experience + Ability to collaborate with stakeholders + Ability to create, edit, save and send documents utilizing Microsoft Word. Ability to navigate a Windows environment **Preferred Qualifications:** + Undergraduate degree + Prior Authorization experience + HHA and / or PCA experience + Ability to interpret benefits and / or apply clinical / LTSS guidelines + Chart Review + Case Management experience + Certified Case Manager (CCM) + Experience working with the LTSS population + Managed Care Experience Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high - performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. _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._ Job Keywords: registered nurse, RN, appeals, denials, case manager, UM, UR, PA, prior authorization, pre authorization, utilization management, Utilization review, chart review, quality review, Milliman, CCM, LTSS, long term care, managed care, Medicaid, PCA, HHA, Boston, Quincy, Chelsea, Taunton, Tewksbury, Springfield, MA, Massachusetts

Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group , we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast growing environment. The world is a more interesting place when you can see it through someone else's eyes. Bring your empathy and compassion to a role that will bring out your best everyday. UnitedHealthcare , part of the UnitedHealth Group family of businesses, can provide you with some of the best training and tools in the world to help build relationships and serve our existing and new customers. You'll take as many as 50-70 calls per day from customers who have questions about their health benefits. As their advocate, you'll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity. Join us and discover how you can take your career to a new level. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (7:00am to 10:00pm, Monday-Friday and 8:00am-5:30pm, Saturday). As a new hire the starting shift will be 1:30pm to 10:00pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 6200 Northwest Pkwy, San Antonio, TX 78249. There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application. Once you submit your completed application, you will receive an e-mail with information regarding next steps including any pre-employment assessment(s) that are required. Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: Primary Responsibilities Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Educate customers about the fundamentals and benefits of consumer-driven health care, guiding them on topics such as selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance Assist customers in navigating myuhc.com and other UnitedHealth Group websites while encouraging and guiding them towards becoming self-sufficient in using these tools This role is equally challenging and rewarding. You'll be spending long periods of time on the phone and called on to research complex issues pertaining to the caller's health, status and potential plan options. To do this, you'll need to navigate across multiple databases which require fluency in computer navigation and toggling while confidently and compassionately engaging with the caller. Required Qualifications Spanish Bilingual Required High school diploma or GED OR equivalent work experience Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner Proficient in translating health care-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon Proficient conflict management skills to resolve issues in a stressful situation Preferred Qualifications 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools Prior health care experience Helping create positive customer experiences for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.SM Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. SM 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. Key words: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, healthcare, office, phone support, training class, advocate