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Senior Customer Service Representative - Remote in Central or Mountain Time Zone

Company: UnitedHealth Group
Location: Phoenix
Posted on: September 24, 2022

Job Description:

If you are located in Central -or Mountain Standard Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

Great jobs start with great training and our next class is starting on November 14th, 2022. Apply today.

This is your chance to take your customer service career to the next level. At Optum, we're changing the way health care works for the better and we want motivated people like you to join us. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.SM

As a Senior Customer Service Representative, you'll compassionately deliver an exceptional experience to between 40 to 60 callers per day, always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. You'll also provide support to your team members by serving as a resource or subject matter expert. - Both of these are opportunities for you to identify and exceed our customer expectations by committing to and building strong relationships internally and externally. At the end, you'll know you performed with integrity and delivered the best customer service experience making all your customers and team members feel better because they talked to you.

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 (5am-8pm MST). It may be necessary, given the business need, to work occasional overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:


  • Review and research incoming healthcare claim calls from providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
  • Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
  • Communicate and collaborate with providers to resolve issues, using clear, simple language to ensure understanding
  • Answer incoming phone calls from members and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)
  • Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality and attendance


    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)
    • 6+ months of customer service experience OR experience in a medical office, health care, call-center or office setting analyzing and solving customer problems -
    • Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications -
    • Ability to start on 11/14/2022 and work any 8-hour shift, Mon-Fri, between 5am-8pm MST


      Preferred Qualifications:


      • Healthcare experience -
      • Call Center experience
      • Knowledge of billing/finance and eligibility processes, practices, and concepts -


        Telecommuting Requirements:


        • Reside in Central -or Mountain Standard Time Zone
        • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
        • Ability to keep all company sensitive documents secure (if applicable)
        • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service


          Soft Skills:


          • Demonstrated ability to listen skillfully, collect relevant information, build rapport, and respond to customers in a compassionate manner -
          • Proficient in translating health care-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon -
          • Proficient conflict management skills including the ability to resolve stressful situations -


            UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

            Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at

            Learn how Teresa, a Senior Quality Analyst, -works with -military veterans and ensures they receive the best benefits and experience possible. -

            Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

            Colorado Residents Only: The salary range for Colorado residents is $16.00 - $26.88. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

            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: #RPO, #YELLOW

Keywords: UnitedHealth Group, Phoenix , Senior Customer Service Representative - Remote in Central or Mountain Time Zone, Sales , Phoenix, Arizona

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