Provider Customer Service Call and Chat Representative - Remote - Immediate Start - Tennessee Based - Healthcare Industry

Join the UnitedHealthcare Team as a Provider Customer Service Call and Chat Representative - Remote

Are you passionate about delivering exceptional customer service and making a positive impact on people's lives? Do you have a strong desire to work in a dynamic and rewarding environment? Look no further! UnitedHealthcare is seeking a highly skilled and motivated Provider Customer Service Call and Chat Representative to join our team remotely from Tennessee.

About UnitedHealthcare

At UnitedHealthcare, we're dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life, and we're committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes.

Job Summary

As a Provider Customer Service Call and Chat Representative, you will play a critical role in supporting healthcare providers who care for our members. You will be responsible for providing exceptional customer service, responding to questions and concerns, and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health. This is a full-time remote position that requires a strong and diverse skillset, excellent communication skills, and the ability to multitask and work in a fast-paced environment.

Key Responsibilities

• Serve as an advocate for healthcare providers, demonstrating accountability and ownership to resolve issues and provide exceptional customer service.
• Respond to provider inquiries via phone and concurrent chat, providing accurate and timely information on benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health.
• Quickly and appropriately triage contacts from healthcare professionals, seeking to understand and identify their needs and providing solutions to resolve issues.
• Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls or messages.
• Collaborate effectively with internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
• Strong multitasking skills to effectively and efficiently navigate multiple systems to extract necessary information and resolve issues across multiple lines of business.
• Influence providers to utilize self-service digital tools, assisting with navigation questions and promoting the benefits of these tools.

Requirements

Essential Qualifications

• High school diploma or equivalent work experience.
• Must be 18 years of age or older.
• 1 year of customer service experience with analyzing and solving customer concerns.
• Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications.
• Ability to type at a speed of 35-40 WPM with an accuracy of 90%.
• Ability to work a full-time schedule (40 hours/week) with flexibility to work any 8-hour shift between 9:00 AM and 5:30 PM CST, Monday-Friday.

Preferred Qualifications

• Experience in a related environment (i.e., office, call center, customer service) using phones and computers as primary job tools.
• Prior healthcare experience and knowledge of healthcare terminology.

Soft Skills

• Ability to multitask, including typing in multiple conversations.
• Ability to resolve calls and messages, avoiding escalated complaints.
• Time management skills.
• Emotional intelligence and empathy.
• Active listening and comprehension.
• Excellent written communication skills.
• Demonstrated problem-solving, organization, and interpersonal skills.
• Consistently achieving quality and productivity standards.

Telecommuting Requirements

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

What We Offer

At UnitedHealthcare, we're committed to providing a supportive and inclusive work environment that fosters growth and development. As a Provider Customer Service Call and Chat Representative, you'll have access to:

• Competitive salary and benefits package.
• 12 weeks of paid training to ensure your success in the role.
• Opportunities for career growth and professional development.
• A dynamic and supportive team environment.
• Flexible work arrangements, including remote work options.

Why Join UnitedHealthcare?

At UnitedHealthcare, we're dedicated to making a positive impact on people's lives. By joining our team, you'll have the opportunity to:

• Make a difference in the lives of millions of people.
• Work with a talented and dedicated team.
• Develop your skills and advance your career.
• Enjoy a supportive and inclusive work environment.
• Be part of a company that's committed to creating a healthier world.

How to Apply

If you're a motivated and customer-focused individual who's passionate about making a difference, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to:

We look forward to hearing from you and exploring how you can join our team!