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Job Description

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If you are located within Hawaii, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life's best work.SM There may be easier administrative jobs out there, but few offer the satisfaction of truly helping people manage their personal health and well-being. Our customer service teams have a serious responsibility to make every contact informative, productive, positive and memorable. If you're the kind of person who wants to bring your contribution to a new level every day, a job with UnitedHealth Group and our family of businesses may just be for you. During training you will be paired up with Senior CAC. Training length will vary based on experience. This position is full time (40 hours/week) Monday - Friday. Employees are required to work during our normal business hours of 8:00 am - 5:00 pm HST. It may be necessary, given the business need, to work occasional overtime. We offer weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment. * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Primary Responsibilities: * Identify specific member and provider demographic information * Initiating and following up on requests for medical records and responses on behalf of clinicians * Preparing quality of care cases for hand off to clinical reviewers (Nurses, MDs) * Managing and maintaining quality and productivity metrics 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 or equivalent years of experience * Must be 18 years of age or older * 1+ years of professional experience in an office/customer service setting using the telephone and computer as the primary instrument to perform job duties * Experience with Microsoft Word (creating, editing, and saving documents) and Microsoft Outlook (email and calendar management) * Ability to work during our normal business hours of 8:00 am - 5:00 pm HST, Monday to Friday. Preferred Qualifications: * Have Medical Terminology knowledge Telecommuting Requirements: * Reside within Hawaii * 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: * Ability to multi-task and prioritize workload * Ability to learn new computer applications * Experience working within the health care industry and with health care insurance * Strong organizational and time management skills * Experience working in a fast-paced team environment * Strong focus on customer service Hawaii Residents Only: The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. 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. 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. #RPO

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