About UHG

Careers at UnitedHealth Group


We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM


Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com


Job Category:

Customer Services


United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

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Healthcare CSR – Call Center - (Las Vegas, NV)

UHG - Las Vegas, Nevada

Posted: 07/31/2018

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)
Under minimal supervision this position is responsible for responding to referral requests generated via computer, fax or telephone. Answers all incoming calls via Automatic Call Distribution and making outbound calls to obtain demographic, referral information, verify insurance eligibility, benefits and obtain authorization as needed.
Primary Responsibilities:
  • Ability to handle 35+ calls and 15+ referrals during an 8 hour shift, facilitating a positive patient experience
  • Maintain 98% Accuracy on all patient documentation and referral information in patients account
  • Obtains prior authorization and secures co-pay as defined by policy
  • Routes referral and patient information to the appropriate venue and notifies referral source of disposition when unable to accept referral
  • Resolves questions and problems, and refers only the most complex issues to higher levels
  • Adhere to all written policy and procedures
  • Provides mentorship to other representatives during introductory period

Required Qualifications:
  • 2 or more years of customer service experience in an actual “Call Center” required
  • 1 or more years of recent medical office or healthcare experience required
  • Medical terminology, ICD coding and CPT coding knowledge
  • Knowledge of Medicare, HMO and standard insurance verification processes
  • Windows computer systems skills and ability to learn new programs as required
Preferred Qualifications:
  • High School diploma or equivalent
  • Excellent Customer Service experience
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)
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:  Call Center, customer service, medical terminology, Medicare, HMO, Urology, endocrinology

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