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Patient Customer Service Representative - Pittsburgh, PA

UnitedHealth Group


Location:
Pittsburgh, PA
Date:
02/16/2018
2018-02-162018-03-17
Job Code:
745829
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Job Details

745829 Patient Customer Service Representative Pittsburgh PA

Patient Customer Service Representative - Pittsburgh, PA (745829)

Position Description

Position Description:

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.

Don't wait to we have training classes starting soon that are designed to set you up for success!

You want more challenge. You want more opportunity. Even more, you want the chance to make an impact the lives of others. We want more people like you. When you join us as a Patient Customer Service Representative for Optum360 supporting Quest Diagnostics Revenue Cycle Operations, you'll have the opportunity to make a difference in the lives of our health plan members each day as they look to you as their trusted advisor and advocate. You'll be empowered to compassionately deliver an exceptional experience to an average of 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 help them make informed decisions about their care services by answering their questions, resolving their issues or helping them enroll in and / or select a health plan. You’ll do this by developing and maintaining a productive relationship and interaction with all callers, while providing personalized, and consultative education and information. Here, you'll join us on a mission to deliver the best customer service in the health care industry. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing your life's best work.

To learn even more about this position, hear from other Customer Service Representatives. Click here to watch a short video about the job: http://uhg.hr/customerserviceadvocate1 (Note: these videos are labeled with our internal job title of Health Advisor)

Primary Responsibilities:
  • Answer a high volume of monitored calls, an average of 70 calls per day per representative.
  • Resolve and document customer service inquires on the first call. Inquires may include but are not limited to billing questions, payment plans, payments, patient pricing, re - billing insurance companies, processing adjustments, refunds, bill transfers, mail returns , appealing and filing claims and any action needed to resolve issues
  • Maintain tracking log of all escalated patient correspondence, providing status updates to leadership as needed
  • Offer the patient the opportunity to take the customer service survey at the end of the call
  • Research, troubleshoot and / or partner with others to resolve complex issues and customer complaints
  • Evaluate and respond to all aspects of written or received correspondence
  • Ask for patient payments and process credit card payments if necessary
  • Report problems, errors, and denial trends to management including PHI breaches
  • Meet or exceed all production quality goals and adhere to all policies and procedures
  • Other duties and projects as assigned
Required Qualifications:
  • High School Diploma / GED (or higher)
  • 1+ years of Customer Service experience
  • Demonstrated ability in using computer and Windows PC applications
Preferred Qualifications:
  • Call Center or Medical Billing experience
Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, long periods of time 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: Optum360, pathology, billing, Ameripath, insurance, customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training classJob, Quest Diagnostics

Job Details

  • Contest Number745829
  • Job TitlePatient Customer Service Representative - Pittsburgh, PA
  • Job FamilyCustomer Services
  • Business SegmentOptumInsight

Job Location Information

  • Pittsburgh, PA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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