UnitedHealth Group is a leading healthcare company focused on simplifying the healthcare experience and improving community health. They are seeking a Bilingual English and Spanish Senior Customer Service Representative responsible for managing outbound calls to assist Medicaid members in scheduling preventative health services and ensuring quality customer service.
Responsibilities:
- Ensures quality customer service for external customers by proactively reaching out to identify needs for preventative services and connecting them to the appropriate resources
- Partners with other customer service representatives to resolve complex customer service inquiries
- Informs and educates new customers regarding preventative health care services available to the member and / or the child of the guardian
- Places outgoing phone calls for preventative services and to complete follow - up on customer service requests, as necessary
- Maintains timely, accurate documentation for all appropriate transactions
- Meets established productivity, schedule adherence, and quality standards with consistency
- Keeps management abreast of all outstanding issues
- Adapts procedures, processes, and techniques to meet the more complex position requirements
- Addresses special (ad - hoc) projects as appropriate
- Seeks involvement in continuous quality improvement initiatives
- Works bilingually - English and Spanish speaking
- Works independently
- Acts as a resource for others
- Other duties as assigned
Requirements:
- High School Diploma / GED or equivalent work experience
- Must be 18 years of age OR older
- 1+ years of customer service experience analyzing and solving customer problems
- Bilingual verbal and written fluency in English and Spanish
- Experience with computers and Windows PC applications, which includes the ability to learn new and complex computer system applications
- Experience performing 6+ hours a day making outbound calls
- Ability to work full-time, Monday - Friday. Employees are required to work during our normal business hours of 8:00am - 5:00pm Arizona Time Zone. It may be necessary, given the business need, to work occasional overtime
- 1+ years of pediatric medical office experience
- Experience with the Managed Healthcare industry
- Experience with EPSDT (Early and Periodic Screening Diagnostic and Treatment) Services