[Hiring] Provider Customer Service Call and Chat Representative @UnitedHealth Group

Role Description

This position is Remote in North Carolina. You will have the flexibility to work remotely as you take on some tough challenges.

As a Provider Advocate, you'll play a crucial role in the healthcare industry by serving as the primary point of contact for healthcare providers. Your responsibilities include:

• Resolving issues efficiently, often on the first call.
• Providing support through various channels like calls and chats.
• Navigating multiple systems and collaborating with internal partners.
• Promoting self-service digital tools to enhance provider satisfaction.

Success in this role is measured by:

• First call resolution rate.
• Provider satisfaction scores.
• Efficient issue resolution time.

This dynamic position requires:

• Excellent multitasking.
• Effective communication.
• A deep understanding of healthcare processes.

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 9:35 am - 6:05 pm EST / 8:35 am - 5:05 pm CST. It may be necessary to work occasional overtime, weekends, and/or some holidays.

We offer 11 weeks of paid training, conducted virtually from your home, with 100% attendance required during the training period.

Primary Responsibilities:

• Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues.
• Service Providers in a multi-channel environment including call, dual chats, and email as required.
• Quickly and appropriately triage contacts from healthcare professionals (i.e. physician offices, clinics, billing offices).
• Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g. benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
• Research and dissect complex prior authorization and claim issues to avoid repeat calls/messages, escalations, and provider dissatisfaction.
• Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
• Strong multitasking to effectively navigate more than 30 systems to extract necessary information.
• Influence providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool.

Qualifications

• High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR older.
• 1+ years of customer service experience analyzing and solving customer’s concerns.
• Experience with computer and Windows PC applications.
• Ability to work full-time (40 hours/week) Monday - Friday.

Requirements

• Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers as the primary job tools.
• Health care experience and knowledge of healthcare terminology.
• Reside within the state of North Carolina.
• Ability to keep all company sensitive documents secure.
• Must have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution.
• Hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment.