Cob Issue Management Representative- San Juan, Pr

Cob Issue Management Representative- San Juan, Pr

Unitedhealth Group





Cob Issue Management Representative- San Juan, Pr

Detalles de la oferta

Training classes start soon ? apply today ?Energize your career with one of Healthcare?s fastest growing companies.?? You dream of a great career with a great company ? where you can make an impact and help people.? We dream of giving you the opportunity to do just this.? And with the incredible growth of our business, it?s a dream that definitely can come true. Already one of the world?s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.? We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum ? a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. The COB Issue Management Representative ? is responsible for resolving escalated provider and member issues.? The successful COB Representative will perform root cause analysis, determine primacy, and update all systems to ensure that claims are processed correctly.? The COB Representative communicates directly with members, providers, and submitters to ensure issues are resolved on a daily basis.? Primary Responsibilities: Initiate contact with members, providers, and other insurance companies to obtain and document coordination of benefits information. Leverage a questions-based approach to obtain information and exercise reflective listening skills to identify underlying, root cause issues. Prioritize assigned tasks with minimal guidance from SMEs and management. Coordinate directly with other team members to balance workload, execute priorities, and ensure assigned goals and objectives are met or exceeded. Identify and resolve problems using defined processes, expertise, and judgment. Communicate areas of potential improvement to SMEs for potential incorporation into processes to increase productivity, quality, and/or customer satisfaction. Analyze and interpret data.? Present the results of data analysis to SMEs and management, as appropriate, in a concise and crisp manner. Leverage problem-solving skills within established guidelines to resolve issues, questions, and conflict at the lowest level possible within the organization. Ability to work independently and as a team with limited supervision. Possess strong attention to detail with the ability to think in a logical and structured manner to identify problems and present solutions for consideration. Ability to multi-task including the ability to understand multiple products and multiple levels of benefits within each product. Leverage strong communication skills (verbal, non-verbal, and written) with a demonstrated ability to communicate ideas clearly and concisely with peers, superiors, members, and providers. Required Qualifications: High school / GED diploma (or higher) 2 years? experience analyzing and solving customer problems in an office, claims, or customer service environment 1 year of experience in the healthcare industry Basic experience in Microsoft Office Suite (Word, Excel, and Outlook - ability to create / edit / save documents and email / calendar management) Proficient verbal and written English skills Preferred Qualifications: Experience within coordination of benefits Helping create positive customer experiences for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life?s best work.(sm) Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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. Key words : UnitedHealth Group, UnitedHealthcare, training class, customer service representative, customer service, CSR, inbound calls, Call Center

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