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Customer Service Representative

  • Job
    Full-time
    Entry & Junior Level
  • Customer Relations
    Healthcare

AI generated summary

  • You must have a Bachelor’s Degree, strong computer skills, problem-solving abilities, and the ability to empathize with customers. Preferred: 6 months in customer service and healthcare experience.
  • You will answer provider calls, resolve issues swiftly, deliver positive information, document interactions, and adhere to company policies and shifting work conditions.

Requirements

  • Required Qualifications:
  • Bachelor’s Degree in any specialization (excluding B.E , B. Tech, MCA and pursuing or results awaited in graduation or any backlogs)
  • Extensive work experience within own function
  • 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
  • Skilled in problem solving to quickly assess current state and formulate recommendations
  • Preferred Qualifications:
  • 6 months of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
  • Health care experience

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
  • - Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment)

FAQs

What is the primary responsibility of a Customer Service Representative at UnitedHealthcare?

The primary responsibility is to provide expertise and customer service support to members, customers, and providers through direct phone-based interaction, answering and resolving a wide variety of inquiries.

Is there a specific educational requirement for this position?

Yes, a Bachelor’s Degree in any specialization is required, excluding B.E, B. Tech, MCA, and any candidates pursuing or awaiting graduation or having backlogs.

What skills are essential for this role?

Essential skills include strong listening abilities, problem-solving skills, familiarity with computer and Windows PC applications, and the capacity to build rapport and respond compassionately to customers.

Is previous experience required for applicants?

While extensive work experience in the function is required, the preferred qualifications include at least 6 months of experience in a related environment, such as customer service.

What type of environment does this position work in?

This role works in a high-volume setting where you'll interact frequently with health care providers to develop relationships and assist them effectively.

Are there opportunities for growth and development in this position?

Yes, the role is described as both challenging and rewarding, offering opportunities to grow in knowledge of various products and benefits while developing relationships with providers.

Is health care experience preferred for this job?

Yes, having health care experience is preferred for applicants applying to this role.

What is the mission of UnitedHealth Group?

The mission of UnitedHealth Group is to help people live healthier lives and to make the health system work better for everyone, with a commitment to equity and improving health outcomes for all communities.

Can the job location or shifts change?

Yes, compliance with the terms of employment includes being flexible with potential transfers, re-assignments, team changes, or alterations in work shifts as dictated by the changing business environment.

What types of inquiries will I be handling in this role?

You will handle inquiries related to benefits and eligibility, billing and payments, authorizations for treatment, and explanations of benefits among other issues.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

When it comes to your health, everything matters. That’s why UnitedHealthcare is helping people live healthier lives and making the health system work better for everyone. Our health plans are there for you in moments big and small, delivering a simple experience, affordable coverage, and supportive care. Wherever your health takes you, we're there for what matters. At UnitedHealthcare, part of the UnitedHealth Group family of businesses, we are working to create a system that is connected, aligned and more affordable for all involved; one that delivers high quality care, responsive to the needs of each person and the communities in which they live. With connections to more than 1.3 million physicians and care professionals and 6,500 hospitals and care facilities across the globe, we can collaborate in new ways to improve patient care while providing customizable and comprehensive solutions in any marketplace, anywhere.

Culture & Values

  • Integrity

    Honor commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of the people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future. Learn from the past

  • Performance

    Demonstrate excellence in everything we do.

Benefits

  • United Well-being

    United Well-being supports employees in their journey to better health. Resources include: Exercise and mindfulness apps. Tips and recipes for healthy cooking. Wellness coaching and financial tools. A private employee community group.

  • Health and Insurance

    Our medical plans for employees deliver better value and better outcomes. We offer: Copay plans and HSA-eligible plans. Vision and dental plans. Flexible spending accounts. Life insurance, and more.

  • Savings and Retirement

    In addition to competitive pay, we provide financial benefits to help employees manage their money. Benefits include: 401(k) Savings Plan. Employee Stock Purchase Plan. UnitedHealth Group credit union, and more.

  • Paid Time Off (PTO)

  • Paid Company Holidays

  • Parental Leave

  • Employee Assistance Program