
Provider Customer Service Call and Chat Representative
UnitedHealthcare, Maryland Heights, MO, United States
Duration: Full Time
Provider Customer Service Call and Chat Representative
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This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. 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. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Position overview
As a Provider Advocate , you’ll serve as the primary point of contact for healthcare providers. You’ll resolve issues efficiently, often on the first call, and provide support through calls and chats. You’ll navigate multiple systems, collaborate with internal partners, and promote self-service digital tools to enhance provider satisfaction. Success is measured by metrics such as first call resolution, provider satisfaction scores, and timely issue resolution. This role requires excellent multitasking, strong communication, and a solid understanding of healthcare processes.
Employment details
Job type: Full-time, 40 hours/week
Schedule: 8-hour shifts during standard business hours CST (10:35am – 7:05pm CST); overtime, weekends, and holidays may be required
Training: 11 weeks of paid training; hours 8:00am – 4:30pm CST, Monday – Friday (virtual from home; 100% attendance required)
Review this video to learn more about telecommuting with UHG.
Primary Responsibilities
Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues
Service providers in a multi-channel environment including calls, dual chats, and email
Contact healthcare professionals (e.g., physician offices, clinics, billing offices) quickly and appropriately
Understand and identify provider needs, answer questions, and resolve issues (benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)
Research and address complex prior authorization and claim issues to avoid repeat calls/messages and provider dissatisfaction
Collaborate with internal partners to resolve issues and communicate outcomes in a timely manner
Navigate more than 30 systems to extract information and resolve issues across multiple lines of business and provider types
Encourage use of self-service digital tools to aid faster resolution
Required Qualifications
High School Diploma / GED or equivalent work experience
Must be 18 years of age or older
1+ years of customer service experience solving customer concerns
Experience with computer and Windows PC applications, with ability to learn new systems
Ability to handle provider calls or concurrent chats (50–70 per day) with full attention to duties
Ability to work full-time (40 hours/week) Monday – Friday; flexible to work 8-hour shifts during business hours CST; overtime may be necessary
Preferred Qualifications
Experience in a related environment (office, call center, customer service) using phones and computers
Healthcare experience and knowledge of healthcare terminology
Current employment within UHC Operations & Experience (Sparq steps provided in the listing)
Telecommuting Requirements
Maintain security of company documents
Have a dedicated, private work area for information privacy
Must reside in a location with access to UnitedHealth Group approved high-speed internet
Soft Skills
Multitasking and handling multiple conversations simultaneously
Timely resolution of calls and messages with minimal escalations
Strong time management, emotional intelligence, and empathy
Excellent active listening and written communication
Problem-solving, organization, and interpersonal skills
Typing speed 35–40 WPM with 90% accuracy
Adherence to UnitedHealth Group’s Telecommuter Policy
Compensation and Benefits
Pay is based on factors including location, education, work experience, and certifications. The hourly pay range for this role is $17.74 – $31.63 per hour for full-time employment. Benefits include a comprehensive package, incentive programs, equity stock purchase, and 401k, subject to eligibility.
Application Deadline
This posting will remain active for a minimum of 2 business days or until a sufficient candidate pool is reached. The posting may close earlier due to volume of applicants.
Equal Employment Opportunity
At UnitedHealth Group, we are committed to equal opportunity in employment. We consider all qualified applicants without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by law. We are a drug-free workplace and may require a pre-employment drug test.
Location and Seniority
Location: National Remote (United States)
Seniority level: Entry level
Employment type: Full-time
Job function: Sales and Business Development
Industries: Hospitals and Health Care
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