Customer Service Representative

Optum; South Portland (ME); Hybrid; USD 22,000 - 40,000; Full time

Benefits offered by this job

Sign-on bonus $1,500

Job summary

Northern Light Health, in strategic partnership with Optum, offers a remote-in-Maine Customer Service Representative role with onsite training in Brewer, ME. The position is full-time, Monday–Friday, 8:00 am–4:30 pm EST, with occasional overtime as needed.

A $1,500 sign-on bonus is available for external candidates, and initial 6–8 weeks of onsite training will occur at the Brewer location. The role emphasizes first-call resolution, patient advocacy on billing issues, and accurate account

Qualifications

• 1+ years of customer service experience in healthcare, insurance, government, social services, or human services settings.
• 1+ years of data entry experience.
• Basic proficiency with Windows PC applications and Microsoft Office (Word/Excel/PowerPoint).

Responsibilities

• Actively participate in team huddles and meetings, sharing information and suggesting improvements.
• Provide excellent customer service via first-call resolution when possible.
• Advocate for patients regarding complaints or billing issues within policies.
• Inform management of customer service issues needing attention.
• Resolve accounts timely to maximize reimbursement within policy.

Skills

Customer service experience

Strong analytic skills

Data entry

Education

High School Diploma / GED

Tools

Windows PC applications

Microsoft Office

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Customer Service Representative (2383443)

Customer Service Representative (

Job Number:

2383443 )

$1,500 Sign-On Bonus for External Candidates

This position is Remote in Maine. If you are located within commutable distance to the office at 43 Whiting Hill Rd Brewer, Maine 04412, 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, Monday - Friday. Employees are required to have flexibility to work any of our 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 6 - 8 weeks of paid onsite training for the first 6 - 8 weeks at 43 Whiting Hill Rd Brewer, Maine 04412. The hours of the training will be during normal business hours.

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.
• Thoroughly understand the department’s key performance indicators.
• 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

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, insurance, government (state or federal), social services, or human services settings
• 1+ years of data entry experience
• Basic proficiency with Windows PC applications and Microsoft Office (create, edit, format Microsoft Word, Microsoft Excel, Microsoft PowerPoint)
• Ability to complete onsite training for the first 6 - 8 weeks at 43 Whiting Hill Rd Brewer, Maine 04412, followed by transition to a remote work arrangement
• 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
• Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 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

Preferred Qualifications:

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

Telecommuting Requirements:

• Reside within commutable distance to the office at 43 Whiting Hill Rd Brewer, Maine 04412.
• 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 analytic skills

*All employees working remote 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
• 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 $16.00 to $29.00 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 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 under 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.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

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.