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The Healthcare Admin Representative manages member intake, triages requests, communicates with providers, and handles authorization processes in a healthcare setting.
Top Skills:
Complex Database SystemsExcelMicrosoft Word
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The Claims Manager leads multiple teams in healthcare provider contracting, operational metrics, and performance management, while driving process improvements and strategic initiatives within the healthcare industry.
Top Skills:
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Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Enrollment Specialist manages the enrollment process, assists with billing discrepancies, and helps members with their enrollment issues, ensuring accuracy and compliance.
Top Skills:
Microsoft WordMS OfficePowerPoint
Requisition Number: 2346050
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 make 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.
If putting a smile on someone's face puts one on yours, you belong on our team. Here at Optum Puerto Rico Operations, we've brought together teams of incredibly compassionate and absolutely positive people to help serve our members or providers when they reach out to us with questions. Your helpful personality combined with our support, training and development will ensure your success. This is no small opportunity. This is a chance to leverage your compassion for others and build a rewarding career.
Upon completing the 8-week training program, you will transition into a hybrid work arrangement, offering the flexibility to work both remotely and on-site*
Primary Responsibilities:
**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:
Preferred Qualifications:
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.
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 make 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.
If putting a smile on someone's face puts one on yours, you belong on our team. Here at Optum Puerto Rico Operations, we've brought together teams of incredibly compassionate and absolutely positive people to help serve our members or providers when they reach out to us with questions. Your helpful personality combined with our support, training and development will ensure your success. This is no small opportunity. This is a chance to leverage your compassion for others and build a rewarding career.
Upon completing the 8-week training program, you will transition into a hybrid work arrangement, offering the flexibility to work both remotely and on-site*
Primary Responsibilities:
- Call members to schedule in home visits with a Physician or Nurse Practitioner
- Answer inbound calls from members and assist them with inquiries
- Ensure that the appointments are scheduled accurately and resolve any scheduling issues or concern
- This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours
**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 or customer service experience
- Ability to maintain confidentiality and adhere to HIPAA requirements
- Proficiency with computer, Windows PC and web applications including ability to navigate and learn new and complex computer system application
- Ability to work 40 hours/assigned 8-hour shifts between our normal business hours of Monday - Friday from 8:30am - 8:30pm. It may be necessary, given the business need, to work occasional overtime or weekends
- Bilingual Spanish/English proficiency
Preferred Qualifications:
- Sales experience
- Experience using an auto dialer system
- Experience working in the health care industry
- Experience working with Medicaid or Medicare
- Experience working in a customer retention focused role, retail, or upselling
- Data entry experience
- Proven medical terminology knowledge
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.
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