Healthcare Customer Service Representative Job at UnitedHealth Group

UnitedHealth Group Albany, NY 12227

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.


The Healthcare Representative act as advocates meeting with patients and their families daily. They are responsible for tracking every application they receive and obtaining high rates of successful outcomes. If you appreciate helping people and possess great communication and computer skills, take the next step towards a rewarding career at Change Healthcare!


This position is full-time, Tuesday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 4:30pm. It may be necessary, given the business need, to work occasional overtime and weekends. Our office is located at Albany Medical Center - Albany, NY.


Primary Responsibilities:


  • Interviewing clients in a hospital setting and/or home visits to assist them in obtaining maximum benefit coverage.

  • Completing application for state and federal programs, reviewing medical records and taking all actions necessary to expedite benefit approval.

  • May be responsibility for maintaining ongoing communications with government agencies regarding the status of claims.

  • Provide updates and assistance to hospital personnel and other staff as needed.

  • Maintain documentation of status of claims and client contact on Change Healthcare computer system.

  • Other responsibilities that are customer specific.

  • Knowledge of state and federal programs.

  • Assisting with mentorship opportunities and team trainings.

  • Pull daily referral reports.

  • Responsible for internal reporting.

  • Developing knowledge of more complex claims (for example; out of state).

  • Ability to float to different facilities if needed.

  • Assist with customer meetings when needed.


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 higher)

  • 1+ years of relevant hospital and healthcare experience

  • Proficient with computer skills and tablet devices including Microsoft Office applications (Outlook, Excel and PowerPoint)

  • Experience in Medical Patients interaction

  • Ability to work between 8:00am - 4:30pm, Tuesday - Saturday

  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation


Preferred Qualifications:


  • Associate's Degree (or higher)

  • Knowledge of federal and state programs that will benefit coverage for the client
  • Bilingual (English and Spanish)


Soft Skills:


  • Professional demeanor

  • Strong work ethic and a high level of confidentiality

  • Time management skills and attention to detail


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies required all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.


Careers with OptumInsight
. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.SM


New York Only:
The salary range for New York residents is $16.00 - $27.31.Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.


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.


#RPO #RED




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