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Our Customer Service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.
In this position you will be making Outbound calls to members that are with UnitedHealthcare to insure and verify that we are meeting their needs and that their experience with us has been adequate, thus far. During the calls, you will make sure that they are getting the services and assistance that they need. You will make sure that their information is up-to-date in the system, you will assist in changing their Primary Care Physician, if needed, and you will also manage the Referral process. You will process incoming and outgoing Referrals and Prior Authorizations.
You will be responsible for resolving customer service inquiries, and encourage members to use Preventative services as well. During the calls, you will sometimes be required to complete Risk Assessments for members and help connect them with Providers. Administrative tasks will include the Intake of members and managing the Admission and Discharge of information, post notification. You will be required to work with hospitals and the Clinical team on a daily basis. Meeting productivity goals and having good attendance is important in this role.