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  • Meridian, ID

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Customer Service Representative - Meridian, ID

UnitedHealth Group • Meridian, ID

Posted 1 month ago

Job Snapshot

Other Great Industries
Customer Service

Job Description

Energize your career with one of Healthcare’s fastest
growing companies.  

You dream of a great career with a great company – where
you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our
business, it’s a dream that definitely can come true. Already one of the
world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing
new ways to operate our service centers, improve our service levels and help
people lead healthier lives. We live for
the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business
areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 5

Optum helps
nearly 60 million Americans live their lives to the fullest by educating them
about their symptoms, conditions and treatments; helping them to navigate the
system, finance their healthcare needs and stay on track with their health
goals. No other business touches so many lives in such a positive way. And we
do it all with every action focused on our shared values of Integrity,
Compassion, Relationships, Innovation and Performance.

current office location is in Meridian, ID - 205 E Watertower. The team
will soon be moving to another office in DT Boise, ID - 322 East Front Street Suite 400.

Primary Responsibilities:

  • Document calls and claim inquiries

  • Ability to perform all tasks of a senior billing rep

  • Work with network providers

  • Answer questions related to claims for outpatient behavioral health

  • Effectively communicate with
    supervisors, peers, billing reps, and others, as appropriate on a
    regular basis, assuring proper flow of information

  • Assist in resolving inquiries relating to payment

  • Work closely with supervisor for resolution

  • Assist supervisor on workforce management scheduling / daily schedules

  • Provide input and guidance to team
    members in order to ensure continuous improvement in processes which
    ultimately improve customer service

  • Maintain all Compliance and HIPAA regulations at all times

  • Work closely with billing companies who call on behalf of their client, a verified network provider

  • Work responsibly with auditors (internal and external)

  • Contact Optum Network Management regarding any inquiries related to contracting / practitioner status

  • Meet or exceed daily call center production goals and quality standards

Required Qualifications:

  • High School Diploma / GED (or higher)

  • 3+ months of combined experience in healthcare claim processing and / or healthcare billing

  • Knowledge of recent claims processing terms and guidelines including ICD - 10

  • 1+ years of experience in a call center environment

  • Ability to work during the operating
    hours of the site (9:35 AM – 6:05 PM MST) with the ability to work
    overtime as needed, based on department needs

Preferred Qualifications:

  • Healthcare claims processing experience

  • Knowledge / understanding of how to review a medical, mental, or behavioral health claim

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

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: inbound, calls, telephonic, provider, customer service, claims, billing, Meridian, Boise

Job ID: 2551_828320
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