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Bilingual Chinese Speaking Customer Service Representative - Flushing, NY

UnitedHealth Group


Location:
Flushing, NY
Date:
06/23/2017
2017-06-232017-07-22
Job Code:
1742638
Apply on the Company Site
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Job Details


Bilingual Chinese Speaking Customer Service Representative - Flushing, NY(Job Number:711190)
Description

Position Description:


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.


Primary Responsibilities:

  • 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
  • Selecting the best health plan to meet their health needs
  • Choosing a quality care provider and appointment scheduling
  • Premium provider education and steerage
  • Pre-authorization and pre-determination requests and 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 own the resolution of all customer issues and anticipate their future healthcare needs or potential opportunities to improve the experience
  • Ability to overcome objections and persuade members to take action / change behavior
  • Ability to use analytical thought process to dissect complex claim issue, and complete appropriate steps to resolve identified issues/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, customer satisfaction, first call resolution and attendance
  • Maximizes use of community services, support programs, and resources available to members

Job Advocate4Me
Primary Location US-NY-Flushing
Other Location 
Organization C&S Ops Consumer Svcs - Call
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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