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Job title: Senior Health Advocate4Me Representative (E&I) – Any E&I Site or Current US Remote
Company: UnitedHealth Group
Job description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM
This position is full – time (40 hours / week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am – 8:00pm). It may be necessary, given the business need, to work occasional overtime.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
We offer 11 weeks of paid training. The hours during training will be 9:00am to 5:30pm Monday – Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
What we do defines who we are. Take a deeper look at how we’re providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at:
Primary Responsibilities:
- Simplify health care system guidance and drive engagement in programs across the continuum of care
- Conduct provider searches
- Perform closed, denied, and simple claim adjustments
- Meet Quality and Customer Satisfaction requirements
- Maintain accurate documentation in ORS
- Take accountability and ownership for any follow – up work needed to resolving and close issues
- Take ownership of resolution of inquiries end to end
- Resolve issues including benefits, eligibility and claims as needed
- Pitch clinical programs as appropriate
- Identify anticipate and resolve Member issues to prevent future calls
- Maintain proficiency in all technical applications (technical skills and system knowledge)
- Comply with all current policies, procedures and workflows
- Ability to works independently and collaborate with others
- Serve as a resource for others.
- Ability to work any shift between 8:00am to 8:00pm flexible for shift within these hours in their time zone
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) OR equivalent work experience
- Experience in the Employer and Individual (E&I) Group- Benefit Ops performing Benefit Advocate functions
- Must have completed E&I Benefit Ops Advocate4Me Tier 1 Training
- Knowledge of medical claims billing ICD10, CPT, or HCPC codes
- Must be within E&I Benefit Ops
- Ability to work any shift between 8:00am to 8:00pm flexible for shift within these hours in their time zone
- If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
Preferred Qualifications:
- Knowledge of Medicare
- Experience with UNET platform
- Health Care / Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
- Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations)
- Sales or account management experience
- Customer Service Experience
UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non – clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.
Some of the steps we’ve taken to ensure employee well-being include:
- Transitioned our new hire training classes to be conducted virtually
- Launched our ProtectWell app and UnitedCARES program to help ease the burden and stress for our UnitedHealth Group team members and their immediate family affected by COVID-19
- Daily updates from our CEO Dave Wichmann to support and inspire team members during this challenging time
- Onsite social distancing and increased sanitization measures for employees who have been welcomed back to our offices
- Fully cover the COVID-19 healthcare costs for our employees
- Employees who self-identify as high risk or who live with someone who is high risk have been asked to remain working from home
You can learn more about all we are doing to fight COVID-19 and support impacted communities at:
Careers with UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 10 organization that’s serving more than 85 million people already and building the industry’s singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near – obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they’re found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none. This is no small opportunity. It’s where you can do your life’s best work.SM
Colorado Residents Only: The hourly range for Colorado residents is $17.12 to $30.34. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.
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.
Keywords: customer service, benefits, UHG, US Telecommute, E&I, Employer and Individual, Medicare, UNET, work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately
Expected salary: $17.12 – 30.34 per hour
Location: Cheektowaga, NY
Job date: Thu, 28 Jan 2021 23:16:51 GMT
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