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UnitedHealth Group Bilingual Customer Service Representative - McAllen, TX in McAllen, Texas

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. (sm)

Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealthcare, part of the UnitedHealth Group family of businesses. Now, you can take advantage of some of the best training and tools in the world to help serve our members by interfacing and solving issues with their health care providers. As part of our Provider Services group, the quality of support you deliver will directly translate into better care for their patients This is no small opportunity. This is where you can bring your compassion for others while building your career.

Primary Responsibilities:

  • Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)

  • Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller

  • Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff

  • Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends

The pace is fast and you'll need to be comfortable managing multiple priorities. You may be required to work in multiple locations, so scheduling flexibility is essential. You must also be able to respond calmly and effectively in emergency situations.

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 equivalent work experience

  • 1+ years of customer service experience

  • Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications

  • Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner

  • Skilled in problem solving to quickly assess current state and formulate recommendations

  • Knowledgeable in medical equipment

  • Must be bilingual in Spanish and English

  • Proficiency with Microsoft Office Products including Excel, Outlook, and Word

  • You will be asked to performthis role in an office setting or other company location.

  • Employees are required toscreen for symptoms using the ProtectWell mobile app, Interactive VoiceResponse (i.e., entering your symptoms via phone system) or a similarUnitedHealth Group-approved symptom screener prior to entering the worksite each day, in order to keep our work sites safe. Employees must complywith any state and local masking orders. In addition, when in aUnitedHealth Group building, employees are expected to wear a mask inareas where physical distancing cannot be attained.

Preferred Qualifications:

  • 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools

  • Prior health care experience

  • Bright Tree Network experience

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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.

Job Keywords : customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, healthcare, health care, office, phone support, training class, McAllen, TX, Texas

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