Provider Customer Service Call and Chat Representative

Provider Customer Service Call and Chat Representative

This position is Remote in Tennessee. You will have the flexibility to work remotely
* as you take on some tough challenges.

At United Healthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

As a Provider Advocate
, you'll play a crucial role in the healthcare industry by serving as the primary point of contact for healthcare providers. Your responsibilities include resolving issues efficiently, often on the first call, and providing support through various channels like calls and chats. You'll need to navigate multiple systems, collaborate with internal partners, and promote self-service digital tools to enhance provider satisfaction.

Success in this role is measured by metrics such as first call resolution rate, provider satisfaction scores, and efficient issue resolution time. This dynamic position requires excellent multitasking, effective communication, and a deep understanding of healthcare processes.

This position is full‑time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8‑hour shift schedules during our normal business hours of 8:35 am – 5:05 pm CST. It may be necessary, given the business need, to work occasional overtime, weekends, and/or some holidays.

We offer 11 weeks of paid training. The hours during training will be 7 am – 3:30 pm CST from Monday – Friday (subject to change based on trainer availability). Training will be conducted virtually from your home. 100% attendance is a must during training period.

Review this video to learn more about telecommuting with UHG.

• Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues
• Service Providers in a multi‑channel environment including call, dual chats, and email as required.
• Quickly and appropriately triage contacts from healthcare professionals (i.e. physician offices, clinics, billing offices)
• Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g. benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)
• Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction
• Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
• Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types
• Influence providers to utilize self‑service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution

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.

• 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 customers’ concerns
• Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• This position involves handling provider calls or concurrent chats, with an expected volume of 50‑70 calls/chats daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts, except for scheduled breaks and lunch periods
• Available to work full‑time (40 hours/week) Monday –…