Customer Service Representative - Remote in Brewer, ME

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come makes an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time, Monday - Friday. Employees are required to have flexibility to work our normal business hours of 08:00AM - 04:30PM EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 43 Whiting Hill Rd Brewer, Maine 04412.

We offer 8 - 12 weeks of on-the-job training. The hours of training will be aligned with your schedule.

If you are located within commutable distance to the office in Brewer, Maine, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements.
• Provides excellent customer service via first call resolution as frequently as possible.
• Advocate for patients regarding complaints or billing issues within the established policies and procedures of the department.
• Advises management of customer service issues which may require attention in a timely manner.
• Resolve assigned accounts in a timely and accurate manner, which maximizes reimbursement in compliance with the department's policy and procedures.
• Research and accurately resolve outstanding patient balances in accordance with all departmental and system policies and procedures.
• Meet or exceed the NLH performance standards as it relates to quality and productivity.
• Accurately schedule patient payment plans in accordance with internal policy guidelines.
• Work closely by way of problem solving with peers and leaders to address patient balance issues or changes that directly impact the accounts receivable.
• Ensure all functions related to customer service supports the team goals and objectives as well as NLH financial performance objectives.
• Thoroughly understand the department's key performance indicators.
• Advises management of payment variance issues which may require attention in a timely manner.
• Thoroughly understand the department's key performance indicators.
• Maintain the knowledge of collection protocols, payer, regulatory policies and laws.
• Attend internal education sessions to enhance or gain new skills.
• Demonstrate departmental desire to provide community benefits by way of charitable events or contribution outside the four walls of the department

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
• Must be 18 years or older
• 6+ months of healthcare customer service
• 1+ year of data entry experience
• Basic proficiency with Windows PC applications and Microsoft Office (create, edit, format Microsoft Word, Microsoft Excel, Microsoft PowerPoint)
• Ability to train onsite for the first 12 weeks at 43 Whiting Hill Rd Brewer, Maine 04412
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work our normal business hours of 08:00AM - 04:30PM EST. It may be necessary, given the business need, to work occasional overtime.
• Flu vaccination is an essential job function of this role. Candidates located in states that mandate Flu vaccination 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:

• 1+ year of experience in healthcare customer service
• Medical Terminology
• Previous work experience with Northern Light Health

Telecommuting Requirements:

• Reside within commutable distance to the office at 43 Whiting Hill Rd Brewer, Maine 04412
• 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:

• Strong communication skills (written/verbal)
• Strong analytic skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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