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Posted: Saturday, September 2, 2017 5:48 AM

Position 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 doing your life's best work.UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.Withinthis role, the focus is to reach out and interact with members / providers inorder to assist members in completing preventive screenings and adhering totheir medications within specific STARS focus measures such as: OsteoporosisManagement in Women (OMW), Medication Adherence (Diabetes, Hypertension and Cholesterol measures), Breast CancerScreening (BCS), Colorectal Cancer Screening (COL), Rheumatoid Arthritis (ART),and Comprehensive Diabetes Care (CDC)? Diabetes Care ? Eye Exams, etc.PrimaryResponsibilities:During direct phonebased Customer interaction encourage members to use their benefits to seekappropriate care, complete preventive screenings tests, and adhere to theirmedicationsWork collaboratively with physicians and other health care providers to proactively assist members with coordinating appointments, requesting prescriptions, and arranging transportationEnsures quality customer service for internal and external customersResponds to incoming customer service requests, both verbal and written relating to STARS measures. Will also route / escalate member concerns through appropriate channelsIdentifies and assesses customers' needs quickly and accuratelyPlaces outgoing phone calls to complete follow-up on customer service STARS related measures Responds to customer service inquiries or routes inquiries to appropriate departments as necessaryEstablishes and demonstrates competency in eligibility, billing and receivable systems and associated applications (eg Cosmos, Facets, Diamond, RxClaims, SAM) in regard to STARS related measures or routes member / provider questions to appropriate departmentImplements customer service strategies relating to STARS Outreach Measures and recommends related improvements / enhancementsMaintains timely, accurate documentation for all appropriate transactionsFlexibility to customize approach to meet all types of member communication styles and personalitiesConsistently meets established productivity, schedule adherence, and quality standardsKeeps management abreast of all outstanding issuesRequired Qualifications:High School Diploma / GED (or higher)1+ years of customer service experience analyzing and solving customer problems1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job dutiesEnglish / Spanish Bilingual experience (Speaking / Reading / Writing Skills)Experience with computers and Windows PC applicationsExperience with Microsoft Office including Word (create / update documents and letters), Excel (create / update spreadsheets), and Outlook (create emails, respond to emails, create invites, and create folders)Ability to work regularly scheduled shifts, 40 hours a week, within our hours of operation (8 am - 5 pm) including during the training period, where lunches / breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and / or weekends, and holidays depending on business needs.Preferred Qualifications:Knowledge of managed care industrySoft Skills:Ability to learn new and complex computer system applicationsAbility to balance andprioritize multiple tasksAbility to execute ownassignments under direction of experienced staffWilling to work andcontribute in a team environmentAbility to remainfocused and productive each day though tasks may be repetitiveAbility to multi-task,this includes ability to understand multiple products and multiple levels of benefits within each productAbility to navigate a computer while on the phonePhysical 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 computerService center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time 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.Keywords: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class, customer service advocate, customer service rep, SME, Senior, SR, bilingual, Spanish


• Location: Miami

• Post ID: 65342877 miami is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2017