UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans.

Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

AmeriChoice, a UnitedHealth Group company, is a recognized leader and innovator in providing managed health care solutions to its membership, which includes Medicaid, Medicare and SCHIP beneficiaries.

With over a decade of growth and success, we are poised for continued expansion of our services in this dynamic marketplace.

Our commitment to this specialized market makes a genuine difference in the lives of ou

1. 8 million members.

Join us, do rewarding work, and build a great career.

Customer Service Representative - Southfield, MI Position Description: Answer simple incoming calls from providers and members while ensuring a high level of customer service while maximizing productivity with minimum downtime.

Resolve basic types of customer service inquiries.

Primary Responsibilities: Respond to: Benefits callsEligibility callsMember material requestsProvider look-up callsAuthorization callsBasic member administration callsExplanation of Benefits Provide excellent customer service to both members and providers by: Quickly and accurately identifying and assessing individual provider and member needsTaking appropriate action steps to satisfy those needsSolving problems systematicallyParticipating in proactive outbound call program to ensure customer satisfaction, when applicableResponding to customers in a polite and courteous manner, especially in stressful situationsProjecting patience, empathy, caring, and sincerity in voice tone and wordsEstablishing rapport over the phone quickly, and remain positive and upbeat over prolonged periods of customer serviceExpressing thoughts and information clearly and succinctlyInspiring confidence and positively influence the behavior, actions, and thoughts of othersCommunicating unpleasant or negative information in a tactful mannerEnsuring the average call monitoring score over the previous six months meets or exceeds quality standardsEnsuring proficiency in all product lines instructed in classroom trainingConsistently meeting established productivity, schedule adherence, and quality standardsAdhering to quality improvement initiativesLearning new skills, and retain large amounts of information, facts, rules, procedures, and codesBeing flexible, adjusting quickly, and reacting positively to changeDemonstrate the ability to build and maintain productive working relationships with others and contribute as an effective team memberEstablishing and maintaining control of inbound calls using a well-organized call structureResponding in writing to member/provider basic correspondence using pre-approved lettersProcessing claims requiring standard co-pay resolutionIdentifying and resolving claims with eligibility discrepanciesIdentifying when to route claims to internal or national queuesProcessing claims requiring suspect duplicate resolution Performing same day void, stopping payment, and/or deleting before issue transaction You can be a part of this team.

You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered Qualifications: 1 + years customer service experience in a call centerHigh School Diploma or GED is requiredMS/Office (Word, Excel & Outlook) skills are requiredMust be able to work with established quality and productivity standardsMust be able to adhere to a attendance scheduleBilingual skills are preferred (English / Spanish) or (English / Arabic)Claims process background is preferredExperience with medical terminology is a plusCoding background is preferred Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V 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.

« Apply for Customer Service Representative - Southfield, MI Job in Southfield 48033, Michigan US