Call Center - Engagement Specialist - Richardson, TX

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

Position Description:
Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.

Primary Responsibilities:

Respond to incoming provider and enrollee calls

Resolve customer service inquiries

Enter notifications, Providers status of an existing notification and determining if notification is required.

Complete notification wizard along with ICD-9 and CPT coding

Provide excellent customer service to both providers and enrollees

Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.

Assist with faxes and emails


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.

OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.

By providing 58 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.




Requirements:

High school diploma or GED required.

2+ years of Call Center Experience required.

Knowledge of Microsoft Word, Excel, and Outlook required.

Healthcare Industry Experience is required

Knowledge of Medical Terminology is required


Assets:

Telesales or Telemarketing experience a plus

High volume Call Center experience preferred.

Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product

Ability to remain focused and productive each day though tasks may be repetitive


Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.


Job Category: Customer Support/Client Care
Job Reference Code:366365
Position Type:Full Time Employee