Lead Customer Service Representative - Greensboro, NC

Unitedhealth Group Inc. Greensboro , NC 27395

Posted 1 week ago

Energizeyour career with one of Healthcare's fastest growing companies.

You dream ofa great career with a great company - where you can make an impact and helppeople. We dream of giving you the opportunity to do just this. And with theincredible growth of our business, it's a dream that definitely can come true.Already one of the world's leading Healthcare companies, UnitedHealth Group isrestlessly pursuing new ways to operate our service centers, improve ourservice levels and help people lead healthier lives. We live for theopportunity to make a difference and right now, we are living it up.

Thisopportunity is with one of our most exciting business areas: Optum - a growingpart of our family of companies that make UnitedHealth Group a Fortune 5leader.

Optum helpsnearly 60 million Americans live their lives to the fullest by educating themabout their symptoms, conditions and treatments; helping them to navigate thesystem, finance their healthcare needs and stay on track with their healthgoals. No other business touches so many lives in such a positive way. And wedo it all with every action focused on our shared values of Integrity,Compassion, Relationships, Innovation and Performance.


  • Appliesknowledge / skills to complex activities

  • Demonstratesa depth and breadth of knowledge / skills in own area and is often able toapply these outside of own function

  • Often actsas a technical resource to others in own function

  • Anticipatescustomer needs and proactively identifies solutions

  • Solvescomplex problems on own; proactively identifies new solutions to problems

  • Plans,prioritizes, organizes and completes work to meet established objectives

  • Acts as afacilitator to resolve conflicts on team; seen as key team member on projectteams spanning more than own function

  • Performs alltypes of complex adjustments and closed, denied, and simple adjustments

  • MeetsQuality, Productivity and Attendance requirements

  • Ensuresprovider satisfaction through: Maintaining accurate documentation in ORS,providing assistance to providers with status updates, being responsible forany follow - up work needed for resolving and closing issues, and identifyingand resolving anticipated provider issues to prevent future calls

  • Maintainsproficiency in all technical applications (technical skills and systemknowledge)

  • Complieswith all current policies, procedures and workflows

  • Extensivework experience, possibly in multiple functions

  • Work doesnot usually require established procedures

  • Worksindependently

  • Mentorsothers

  • Acts as aresource for others

  • Coordinatesothers' activities

Required Qualifications:

  • High School Diploma / GED (or higher)

  • Nationally Certified Pharmacy Technician (PTCB)

  • 1 years of claims, office, or customer service experience analyzing and solving customer problems

  • 1 years' worth of knowledge of medical claims billing ICD9, CPT, or HCPC codes

  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications

  • Must be available to work an 8 - hour shift during the hours of operations - Monday through Saturday, 7am to 6pm Eastern. Overtime may be required. Overtime could be before, after, or on a different day than the regularly scheduled shift.

Preferred Qualifications:

  • Knowledge of Microsoft Office (Microsoft Word, Microsoft Excel, Microsoft Outlook, and Microsoft PowerPoint) - ability to open, create, edit, save, and send files
  • 1 years of experience diffusing escalated customer calls

Soft Skills:

  • Ability to remain focused and productive each day though tasks may be repetitive

  • Effective communication skills

  • Stable work history and tenure

  • Physical Requires and Work Environment:

  • Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse

  • Office environment

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life's best work.

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, Claims, telephonic customer service, escalation, member satisfaction, UnitedHealth Group, UnitedHealth, Optum, OptumRx

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Lead Customer Service Representative - Greensboro, NC

Unitedhealth Group Inc.