Customer Support Specialist

Posted 4 Hours Ago
Be an Early Applicant
Dallas, TX, USA
In-Office
18-32 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Provides outbound and inbound provider call support, triages and escalates inquiries, updates provider information, processes requests, obtains medical records, and documents communications. The role supports post-payment audit activities and provider reporting while delivering professional customer service. It is fully remote, full-time, Monday through Friday, with flexible daytime shifts, paid training, and occasional overtime as needed.
Summary Generated by Built In
Requisition Number: 2391597
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
As a Customer Support Specialist part of the Optum family of businesses within UnitedHealth Group, you will play a key role in supporting the healthcare system through accurate provider communication, call management, and audit-related processes. This role focuses on outbound provider calls, inbound call triage, and post-payment audit processing while delivering professional, empathetic customer service.
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer weeks of paid training. The hours of the training will be during normal business hours.
Primary Responsibilities:
  • Make outbound provider calls (average of 45 calls per day) related to provider reporting based on monthly mailings and incoming provider inquiries
  • Participate as a team member in daily inbound call management, scheduling, and escalation processes
  • Document and correct inaccurate provider contact and address information
  • Coordinate and process provider requests professionally and within required turnaround times
  • Follow up with providers to obtain outstanding medical records and ensure data accuracy
  • Accurately document communications and outcomes in internal systems
  • Perform additional duties as assigned to support team goals and business objectives

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 of age OR older
  • 1+ years of customer service experience in healthcare, health insurance, medical billing, or provider services environment
  • 1+ years of call center experience or experience handling a high volume of calls in a remote or virtual environment
  • Experience with using Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management)
  • Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:
  • Healthcare customer service experience
  • Knowledge of healthcare terminology, including an understanding of CPT codes, provider credentials, and common billing terminology
  • Knowledge to support provider communications and routine issue resolution while referring coding interpretation and clinical or medical review questions to the appropriate subject matter experts

Telecommuting Requirements:
  • 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 effectively listen, empathize and reassure customers in a professional and friendly manner
  • Knowledge of customer service principles and practices
  • Self - directed and able to multi - task
  • Effective listening and communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
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.

Skills Required

  • High School Diploma or GED
  • At least 18 years of age
  • At least 1 year of customer service experience in healthcare, health insurance, medical billing, or a provider services environment
  • At least 1 year of call center experience or high-volume call handling experience in a remote or virtual environment
  • Experience using Microsoft Word for correspondence and templates
  • Experience using Microsoft Excel for data entry, sorting, filtering, and tables
  • Experience using Microsoft Outlook for email and calendar management
  • Ability to work full-time Monday through Friday with flexibility for 8-hour shifts between 8:00 a.m. and 5:00 p.m. CST
  • Ability to work occasional overtime
  • Healthcare customer service experience
  • Knowledge of healthcare terminology, CPT codes, provider credentials, and billing terminology
  • Knowledge of provider communications and routine issue resolution
  • Ability to maintain secure, private remote work areas and use approved high-speed internet

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
  • Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
  • Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.

Optum Insights

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
Cebu, Philippines
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
Detroit, MI
Dublin, Ireland
Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
Learn more

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