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Senior Correspondence Representative - Boston, MA

UnitedHealth Group


Location:
Boston, MA
Date:
11/21/2017
2017-11-212017-12-20
Job Code:
739107
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Job Details

739107 Senior Correspondence Representative Boston MA

Senior Correspondence Representative - Boston, MA (739107)

Position Description

Position Description:
Energize your career with one of Healthcare’s fastest growing companies.  
 
You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.
 
This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.
 
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.
 
MA LTSS (Long Term Services and Support) provide services such as home health care services, adult day health and durable medical equipment for individuals with physical, intellectual or developmental disabilities, or who need support with activities of daily living. We are serving as the state’s MassHealth Third Party Administrator (TPA), providing clinical, administrative, operations and systems support for a program with $3.5 billion in annual spend.
 
We are looking for a Senior Correspondence Representatives, who can provide exceptional assistance to MA LTSS healthcare providers calling with questions providers’ inquiries.

Primary Responsibilities:
  • Perform prior authorization and utilization management as directed by MassHealth
  • Conduct analyses on utilization and quality patterns
  • Support providers’ inquiries
  • Strengthen program integrity
  • Serve as a subject matter expert in provider inquiries
  • Provide research and follow up on escalated provider issues, ensuring the providers receive answers in a timely manner
  • Assist providers in navigating websites and encourage and reassure them to become self-sufficient
  • Own problem through to resolution on behalf of the provider
  • Manage lists of pending provider inquiries, ensuring timely resolution
  • Meet the performance goals established for the position in the areas of: efficiency, call quality, provider satisfaction, first call resolution and attendance
Required Qualifications: 
  • High School Diploma / GED
  • 1+ years of Customer Service Representative (CSR) experience or office experience working with health plans
  • An understanding of health plan provider relations and willingness to learn and become an expert in explaining to others
  • Familiarity with a computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
  • This position is full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00 am-6:00 pm)
  • Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled
  • All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material.
Preferred Qualifications: 
  • Previous experience in a role explaining health plan policies, EOBs' or benefits
Soft Skills: 
  • Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So, when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class

Job Details

  • Contest Number739107
  • Job TitleSenior Correspondence Representative - Boston, MA
  • Job FamilyCustomer Services
  • Business SegmentOptum Government Solutions

Job Location Information

  • Boston, MA
    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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