This listing was posted on WhatJobs.
If you are located within a 50-mile radius of Richardson
Location:
Richardson, TX
Description:
If you are located within a 50-mile radius of Richardson, TX office, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.SMThis position is full-time (40 hours / week), Monday - Friday. Employees are required to work any shift between the hours of 1:30 PM - 10:00 PM CST It may be necessary, given the business need, to work occasional overtime. Our office is located at 1311 W Pres George Bush Highway, Richardson, TX, 75080.We offer a minimum of 24 weeks of paid training. The 1st week of training will be on - site (The hours during training will be 8:00 AM - 4:30PM CST from Monday - Friday) and then training will continue remote for the rest of the 23 weeks. Additional 30 days of post training required to come on - site (The hours during training will be 8:00 AM - 4:30PM CST from Tuesday - Thursday). 100% attendance is required. No PTO.*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Primary Responsibilities: Provides premium level service, removing burdens and providing end - to - end resolution for membersThis includes, but is not limited to: Clinical, Financial Decision Support, Behavioral Support, Claims inquiries, and moreProvide single point of contact for the member for highly designated or dedicated UHC national or key account insurance plansRespond to and own consumer inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims, financial spending accounts, correspondence, OptumRx Pharmacy, Optum Behavioral Health and self - service optionsOwn problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the memberEducate members about the fundamentals and benefits of consumer - driven health care topics to include managing their health and well-being so they can select the best benefit plan options and maximize the value of their health plan benefitsAdvocate and intervene with care providers (doctor's offices) on behalf of the member to assist with appointment scheduling, billing concerns, and coverage determinationsAssist the member with resolution as their advocate with 3rd party vendorsAssist members in navigating and other UnitedHealth Group websites or applications utilizing remote desktop system capabilitiesCommunicate and keep consumer informed through the means in which they prefer, i.e. Phone Call, secure messaging, e - mail or chatResearch complex issues across multiple databases and work with support resources to resolve member issues and / or partner with others to resolve escalated issues.Meet the performance goals established for the position in the areas of: conversation effectiveness, call quality, member satisfaction, first call resolution, efficiency and attendance Additional Responsibilities: Answer up to 30 to 60 incoming calls per day from members of our health / dental / vision / pharmacy plansPerforms claims adjustments / dollar payments to providers and/or members ultimately impacting UHC costs or commercial account costsEffectively refer and enroll members to appropriate internal specialists and programs, based on member's needs and eligibility using multiple databasesInterpret and translate clinical / medical terminology into simple - to - understand terms for membersRespond to and resolve on the first call, member 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 correspondenceNavigate through multiple platforms and databases to retrieve information regarding medical plans, prescription plans, flexible spending accounts, health reimbursement accounts, vision plans, dental plans, employer - based reward plans, claimssubmissions, clinical programs, etc.Must remain current on all communicated changes in process and policies / guidelines. Adapt to all process changes quickly, and maintain knowledge of changes at site level and entity level by utilizing all available resourcesResolve member service inquiries related to: Medical benefits, eligibility and claimsTerminology and plan designFinancial spending accountsPharmacy benefits, eligibility and claimsCorrespondence requests Educate members about the fundamentals of health care benefits including: Managing health and well - being programsMaximizing the value of their health plan benefitsSelecting the best health plan to meet their health needsChoosing a quality care provider and appointment schedulingPremium provider education and steeragePre - authorization and pre - determination requests and statusBenefit interpretationSelf - service tools and resourcesHealthcare literacy (correspondence and literature interpretation) Work directly with site leadership to remove process barriersNavigate multiple online resource materials and follow defined process for issue handlingMaximize use of community services, support programs, and resources available to member 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.You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications: High School Diploma / GED Minimum of 3+ years of experience with helping, resolving, OR advocating on behalf of members OR customersExperience with using a computer and Microsoft Office, including Microsoft Word (create correspondence and work within templates), Microsoft Excel (ability to sort, filter, and create simple spreadsheets), and Microsoft Outlook (email and calendar management)Ability to work any shift between the hours of 1:30 PM - 10:00 PM CST from Monday - FridayMust be 18 years of age OR older Preferred Qualifications: Health Care / Insurance environment (familiarity with medical terminology, health plan documents, OR benefit plan design)Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)Sales OR account management experienceCustomer Service experienceClaims processing experienceExperience within a member - focused healthcare environment Telecommuting Requirements: Reside within a 50-mile radius of Richardson, TX officeAbility to keep all company sensitive documents secure (if applicable)Required to have a dedicated work area established that is separated from other living areas and provides information privacyMust live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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.#RPO #YELLOW
Company:
Unitedhealth Group
Posted:
January 2 on WhatJobs
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If you are located within a 50-mile radius of Richardson is a Jobs If You Are Located Within a Job at Unitedhealth Group located in Richardson TX. Find other listings like If you are located within a 50-mile radius of Richardson by searching Oodle for Jobs If You Are Located Within a Jobs.