Job Description

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doinyour life's best work.

Positions in this function includes managing incoming calls, managing requests for services from 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 authorizations. This function includes intake, notification and census roles.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8am - 5pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 601 Booker Creek Corporate Center, Oldsmar, FL 34677.

Employees in this position will work on - site or virtually as an extension of the local quality and provider teams by aligning to geographical regions, medical centers and / or physician practices that manage a high volume of UHC Medicare & Retirement membership

Primary Responsibilities:
* Ensures quality for internal and external customers
* Responds to incoming calls for request, both verbal and written
* Identifies and assesses customers' needs quickly and accurately
* Solves problems systematically, using sound business judgment
* Places outgoing phone calls to complete follow-up on requests as necessary
* Consistently meets established productivity, schedule adherence, and quality standards
* Work is frequently completed without established procedures
* Works independently
* May act as a resource for others
* May coordinate others' activities
* Answers phone calls from members and providers
* Supports care managers by performing various administrative tasks
* Processes eligibility paperwork
* Ensures patient information is documented accurately
* Sets up services for members

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

* High School Diploma / GED (or higher)
* 1+ years of experience in a health care customer service setting using a telephone and computer as the primary instruments to perform job duties
* Previous experience working with Microsoft Word (creating and editing documents)
* Previous experience working with Microsoft Excel (filter, sort, create and edit spreadsheets)

* You will be asked to perform this role in an office setting or other company location
* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.

Preferred Qualifications:

* Healthcare or Insurance Benefits experience
* Knowledge of Medical Terminology / Coding (ICD - 10 and CPT)
* Experience in a Hospital, physician, or medical clinical environment
* Knowledge of Medicare and / or Medicaid
* Bilingual Spanish and English

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we've taken to ensure employee well-being include:

* Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
* Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
* Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
* Fully cover the COVID-19 healthcare costs for our employees
* Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home

You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high - risk pregnancy. Our holistic, outcomes - based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM

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: Oldsmar, FL, Associate, UHG, UnitedHealth, Administrative, Clinical,

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