Customer Service Representative - Pittsburgh, PA (382266)
UnitedHealth Group - Pittsburgh, PA

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Position Description:
When you are in the business of health care, you're in the business of people. At UnitedHealth Group we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.

Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles.

Primary Responsibilities:
Provide excellent customer service

Constantly meet established productivity, schedule adherence, and quality standards

Respond to complex customer calls

Resolve customer service inquiries which could include:
Benefit and Eligibility information

Billing and Payment issues

Customer material requests

Physician assignments

Authorization for treatment

Explanation of Benefits (EOB)

Works on simple tasks using established procedures.

Depends on others for guidance.

Work is typically reviewed by others.


High School Diploma or GED

1+ year of Customer Service experience - retail industry ok

1+ year of experience using a computer and typing - must be proficient and have ability to navigate a PC

Must be available to work evenings Monday - Friday 11:30am - 8:00pm & Saturdays 8:00am- 12:00pm (normal 40 hour work schedule)

1+ year of Call Center experience

Bilingual English-Spanish

UnitedHealthcare Community & State

is part of the family of companies that make

UnitedHealth Group

one of the leaders across most major segments of the US health care system.

If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.

We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.

This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.

You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier...