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Customer Service Representative

Company UnitedHealth Group
Location Melville, NY 11775
Update 7 Day ago
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 Dignity Health 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.

Primary Responsibilities:
Conduct telephone inquiries, inbound, outbound to collect accounts

Collect on patient co - pays, deductible and coinsurance

Handle high volume of incoming outgoing patient calls

Provide patient with an explanation of their hospital bill and resolve inquiries and disputes related to the bill

Obtain third party medical insurance

Respond to complex customer calls answers, researches discrepancies

Resolve customer service inquiries which could include: billing and payment issues, patient itemized bill requests, and processes requests for financial assistance, processes payments and makes payment arrangements

Follows - up on missed payment arrangements

Meets and maintains established productivity goals and quality standards

Notate patient hospital account records of patient communication and call resolution

Identifies and communicates trends and common concerns raised by patients

Performs related duties

Limited work experience

Works on simple tasks using established procedures

Depends on others for guidance

Work is typically reviewed by others

Required Qualifications:
High School Diploma / GED or higher

1+ years of customer service, call center, or collection experience

Proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications

Available to work any shift during hours of operation 9:00 am - 8:00 pm Monday through Friday Preferred Qualifications:

Knowledge of medical insurance and claims processing

Bilingual - Spanish Soft Skills:
Ability to listen attentively, read and interpret the critical content of an inquiry

Excellent telephone etiquette skills

Should have excellent communication skills: written and verbal communication.

Should be able to handle a lot of data that is available, and all of this has to be done at good pace

Should have patience when communicating with the patient/caller able to maintain their composure even if the customer is being rude

Should have the skill of versatility; they will have to adapt to many situations regarding the patient / caller

Should have strong problem-solving dispute resolution and negotiating skills Physical Requirements and Work Environment:

Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer

Utilize multiple PC applications throughout the day

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.