Customer Service Representative

Job Title

$1,500 Sign-On Bonus for External Candidates

This position is remote in ME or TX. You will have the flexibility to work remotely as you take on some tough challenges.

Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing Together.

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 8:00 am - 4:30 pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer up to 8 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities

• Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements
• Provides excellent customer service via first call resolution as frequently as possible
• Advocate for patients regarding complaints or billing issues within the established policies and procedures of the department
• Advises management of customer service issues which may require attention in a timely manner
• Resolve assigned accounts in a timely and accurate manner, which maximizes reimbursement in compliance with the department's policy and procedures
• Research and accurately resolve outstanding patient balances in accordance with all departmental and system policies and procedures
• Meet or exceed the NLH performance standards as it relates to quality and productivity
• Accurately schedule patient payment plans in accordance with internal policy guidelines
• Work closely by way of problem solving with peers and leaders to address patient balance issues or changes that directly impact the accounts receivable
• Ensure all functions related to customer service supports the team goals and objectives as well as NLH financial performance objectives
• Thoroughly understand the department's key performance indicators
• Advises management of payment variance issues which may require attention in a timely manner
• Maintain the knowledge of collection protocols, payer, regulatory policies and laws
• Attend internal education sessions to enhance or gain new skills
• Demonstrate departmental desire to provide community benefits by way of charitable events or contribution outside the four walls of the department

Required Qualifications

• High School Diploma / GED or equivalent yrs of work experience
• Must be 18 years or older
• 1+ year of customer service experience in healthcare, insurance, government (state or federal), social services, or human services settings
• 1+ year of data entry experience
• Ability to type 40-45 words per minute
• Basic proficiency with Windows PC applications and Microsoft Office (create, edit, format Microsoft Word, Microsoft Excel, Microsoft PowerPoint)
• Ability to work full-time, Monday - Friday between 8:00am - 4:30pm EST including the flexibility to work occasional overtime given the business need
• Full Flu vaccination are an essential job function of this role. Candidates located in states that mandate Flu booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.

Preferred Qualifications

• 1+ year of experience in healthcare customer service
• Work experience with Northern Light Health
• Medical Terminology

Telecommuting Requirements

• Reside within Maine or Texas
• 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

• Strong communication skills (written/verbal)
• Strong analytic 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 $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.