1+ months

Bilingual Chinese (Cantonese and Mandarin) and English Retail Customer Service Specialist – Flushing Queens NY

Flushing, NY 11354
  • Job Code
    829070

UnitedHealth Group is working to create the Healthcare system of tomorrow and you can help. Already Fortune 5, we are totally focused on innovation and change.  We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high - performance Healthcare system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.  Join with us and start doing your life's best work.SM


Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want - apply today!


Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealth Group. Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. You'll provide face to face service to customers who have questions about their health benefits. As their advocate, you'll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity. 


The purpose of this role is to interact with members regarding medical and pharmacy benefits, eligibility and claims issues and to assist with plan selection and enrollment. This role is expected to identify opportunities to connect members to the best resources to meet their healthcare needs and provide support in order to resolve medical and benefits issues on behalf of a member. The Bilingual Chinese (Cantonese and Mandarin) and English Retail Customer Service Specialist builds trust with members across their health care lifecycle.


Primary Responsibilities:

  • Provide in language service to Cantonese, Mandarin and English speaking customers at retail walk in center
  • Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow - up with the member
  • Respond to and resolve on the first visit, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims and correspondence.
  • Resolve member service inquiries related to:
    • Medical benefits, eligibility and claims
    • Terminology and plan design
    • Pharmacy benefits, eligibility and claims
    • Correspondence requests
  • Educate members about the fundamentals of health care benefits including:
    • Managing health and well being
    • Maximizing the value of their health plan benefits
    • Choosing a quality care provider and appointment scheduling
    • Pre - authorization and pre - determination requests and status
  • Assist members in appointment scheduling to proactively address gaps in care
  • Intervene with care on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
  • Research complex issues across multiple databases and work with support resources to own the resolution of all customer issues and anticipate their future healthcare needs or potential opportunities to improve the experience
  • Provide education and status on previously submitted pre - authorizations or pre - determination requests
  • Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance
  • Maximizes use of community and government assistance programs and services.  Identify resources available to members and help members apply for much needed subsidies
  • Perform Medicare health plan consultation and enrollment.  Helping customers select the most suitable health plan to meet their health needs
",

Categories

Posted: 2019-05-24 Expires: 2019-09-27

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Bilingual Chinese (Cantonese and Mandarin) and English Retail Customer Service Specialist – Flushing Queens NY

UnitedHealth Group
Flushing, NY 11354

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast