Experience : 0 Description : 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 take as many as 50-70 calls per day from 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. Purpose of Job: The purpose of this role is to interact with members regarding medical and pharmacy benefits, eligibility & 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 Customer Service Advocate builds trust with members across their health care lifecycle. Primary Responsibilities: + Provide in language service to Mandarin, Cantonese, and English speaking customers over the phone + Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow - up with the member + Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility + Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence. + Resolve member service inquiries related to: + Medical benefits, eligibility and claims + Terminology and plan design + Financial spending accounts + 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 + Selecting the best health plan to meet their health needs + Choosing a quality care provider and appointment scheduling + Premium provider education and steerage + 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 services, support programs, and resources available to members Required Qualifications: + HS Diploma/GED + Bilingual fluency (verbal and written) in Chinese (both Cantonese and Mandarin) and English + 1+ years of experience in a professional customer service environment + The ability upon hire to successfully complete the UnitedHealthcare Operations new hire training with a demonstrated proficiency Preferred Qualifications: + Associate's Degree or higher
• Experience in a Health Care/Insurance environment + Previous experience in translating healthcare-related jargon and complex proces County : Queens URL : https://nlx.jobsyn.org/e5d02fc7be244f3ba2a7a7676b25f385159