If you are located within Central OR Mountain Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

WellMed was founded in with a vision of being a physician-led company that could change the face of healthcare delivery for seniors.

Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them.

We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

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 : 30am 5 : 00pm CST).

It may be necessary, given the business need, to work occasional overtime

We offer 5 weeks of on-the-job training. The hours of training will be aligned with your schedule.

All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities :

Review and research incoming healthcare claim calls from providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data / information necessary for processing (e.

g. pricing, prior authorizations, applicable benefits)

• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
• Communicate and collaborate with providers to resolve issues, using clear, simple language to ensure understanding
• Meet the performance goals established for the position in the areas of : efficiency, accuracy, quality and attendance

This role is equally challenging and rewarding. You'll be on the phone for long periods of time and encounter all types of communication styles and personalities as you help resolve conflicts or issues.

You'll deal with stressful situations and resolve complex health care concerns in a positive, simplified manner demonstrating excellent customer service skills.

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
• Working knowledge with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Must be 18 years of age OR older
• Ability to work from Monday Friday 8 : 30am - 5 : 00pm CST, including the flexibility to work occasional overtime and weekends as the business need

Preferred Qualifications :

• 1 years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Health care experience

Telecommuting Requirements :

• Reside within Central OR Mountain Time Zone
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills :

• Ability to de-escalate calls, listen to customer needs and respond appropriately with compassion and empathy
• Ability to multi-task for extended periods of time, including managing calls while also navigating multiple computer systems
• Ability to remain organized, focused, and productive on highly detailed repetitive tasks

Colorado Residents Only : The hourly range for Colorado residents is $16.54 - $32.55 per hour. 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 k 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 #YELLOW

Last updated : 2024-03-24