Top 13 Call center representative provider inquiry Jobs in Carolina Pr

Call Center Representative - Provider Inquiry
UnitedHealth Group —San Juan, PR
- Overtime
- Pass drug screening
- Continuous improvement
- 1 year
13d
Call Center Representative (NYCHH) Hybrid after Training - San Juan, PR
Optum —San Juan, PR
- Overtime
- Microsoft Word
- Computer literacy
- Medical office experience
BILINGUAL CUSTOMER SERVICE REPRESENTATIVE
TPIS —Trujillo Alto Municipio, PR
- $13 an hour
- 8 hour shift
- Computer literacy
- Research
- Windows
Quick Apply
Bilingual Healthcare Customer Service Representative
TPIS —Gurabo Municipio, PR
- $13 an hour
- 8 hour shift
- Computer literacy
- Research
- Windows
Quick Apply
2d
Representante de Servicio al Cliente I - CC
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Rotating shift
- Spanish
- English
- Mid-level
1d
Especialista Senior De Querellas Y Apelaciones
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Weekends as needed
- Spanish
- English
- Research
PHARMACY TECHNICIAN
TPIS —Guaynabo Municipio, PR
- $15 an hour
- Full-time
- Spanish
- Computer literacy
- Writing skills
Quick Apply

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Patient Service Representative
quantum-health —Dublin, OH
Resolve inquiries efficiently by handling inbound/outbound calls and addressing concerns in a timely manner. Tech Savvy: Strong administrative/technical skills;…
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Enrollment Administrator - Customer Support for Learning and Development
Lifted, an Upwork Company™ —Columbus, OH
Call Management: Handle a high volume of inbound calls while meeting outbound call expectations, such as follow-ups and enrollment updates.
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Call Center Representative - Provider Inquiry

UnitedHealth Group -
San Juan, PR

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Job Details

Full-time
13 days ago

Qualifications

Foreign language proficiency
Phone communication
Office experience

Full Job Description

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The health care system is still evolving at a rapid pace. Technology is driving new advances in how patient care is delivered and how it's reimbursed. Now, UnitedHealth Group invites you to help us build a more accurate and precise approach to claims adjudication. As part of our Recovery and Resolutions team, you'll help understand and overcome errors in claims processing. You'll have all the tools and backing you need to help manage subrogation files, negotiate settlements and ensure adherence to compliance policies.

When you are in the business of health care, you're in the business of people. At UnitedHealth Group we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.

As Provider Inquiry Call Center Representative you will be accepting and directing all incoming phone calls according to policy and procedures and department productivity and quality standards. Resolves routine to moderately complex issues, refers appropriately to Team Lead and/or Supervisor as needed.

Primary Responsibilities:

Ensures quality customer service for internal and external customers
Handles all incoming phone calls and identifies/assess customers' needs accurately and timely regarding potential third party liability
Solves problems systematically, using sound business judgment
Applies appropriate communication techniques when responding to customers
Recommends customer service strategies and related improvements/enhancements
Maintains timely, accurate documentation for all phone call interactions
Consistently meets established productivity, schedule adherence, and quality standards
Seeks involvement in continuous quality and process improvement initiatives when warranted

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

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:

1+ years of call center experience
Experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
Fully Bilingual Spanish/English proficiency
Willing or ability to work 40 hours / week during standard business operating hours Monday - Friday from 7am - 9:00pm AST. (It may be necessary, given the business need, to work Holidays, weekends and occasional overtime)

Preferred Qualifications:

Experience within the healthcare industry
Experience in claims
Proven knowledge of medical terminology
Proficiency with MS Office

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

call center representative provider inquiry jobs in carolina pr

Call Center Representative - Provider Inquiry

Call Center Representative (NYCHH) Hybrid after Training - San Juan, PR

BILINGUAL CUSTOMER SERVICE REPRESENTATIVE

Bilingual Healthcare Customer Service Representative

Representante de Servicio al Cliente I - CC

Especialista Senior De Querellas Y Apelaciones

PHARMACY TECHNICIAN

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