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Senior Healthcare Call Center Representative - Eden Prairie, MN

UnitedHealth Group


Location:
Eden Prairie, MN
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1774158
Apply on the Company Site
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Job Details


Senior Healthcare Call Center Representative - Eden Prairie, MN(Job Number:725642)
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 17 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.

When you are in the business of health care, you're in the business of people. At UnitedHealth Group, we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. 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.

Under minimal supervision accepts and directs all incoming phone calls according to policy and procedures and department productivity and quality standards. Resolves routine to moderately complex issues, refers appropriately to Team Lead and / or Supervisor as needed.

Primary Responsibilities:
  • Answer in-coming calls from the Provider Inquiry Line and the Fraud Hotline
  • Incoming calls can be from members and / or Providers questioning claim status, review status, appeal status and / or reporting of fraud
  • Logging of all in-coming calls in a Call Tracking Documentation System
  • Maintains accuracy standards of 97% or greater
  • Maintains adherence standards of 95% or greater
  • Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
  • Works independently and as part of a team
  • Act as a resource for others

Job Claim Recovery/Resol/COB/Subro
Primary Location US-MN-Eden Prairie
Other Location 
Organization Optum Ops-Admin Call Services
Schedule Full-time
Number of Openings 6
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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