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Provider Resolution Specialist - Phoenix, AZ
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Provider Resolution Specialist - Phoenix, AZ

Job Description

Provider Resolution Specialist

At UnitedHealth Group, we're driven to help people lead healthier lives.  We're committed to reshaping the way health care works for millions.  And our passion can become your best career asset.  This is not just another company running just another call center.  We're out to change health care for the better and that starts with every inquiry we handle from the many health care providers who care for our members.  Our commitment to supporting them translates into better care for their patients.  When you join us, you'll be learning, growing and making a difference for people every day. 

The Provider Resolution Specialist is responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity.

Responsibilities:
  • Respond to complex customer calls
  • Resolve customer service inquiries which could include:
  • Benefit and Eligibility information
  • Billing and Payment issues
  • Customer material requests
  • Physician assignments
  • Authorization for treatment
  • Explanation of Benefits (EOB)
  • Provide excellent customer service
  • Constantly meet established productivity, schedule adherence, and quality standards

Job Requirements

Qualifications:
  • 1 year of customer service experience analyzing and solving customer problems, OR 1 year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • Healthcare experience preferred
  • An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
  • Authorization to work in the United States
  • Available to work 40 hours per week anytime within the operating hours of the site
  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Ability to navigate a computer while on the phone
  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
  • Ability to remain focused and productive each day though tasks may be repetitive

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
  • Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

UnitedHealth Group is working to create the health care system of tomorrow and you can help. Already Fortune 17, 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.  Join with us and start doing your life's best work. SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job Snapshot

Employment Type Full-Time
Job Type Customer Service, Entry Level, Admin - Clerical
Education High School
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID UHG-557882
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Provider Resolution Specialist - Phoenix, AZ


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