Supervisor Customer Service - National Remote
Phenom People · Centralia, WA
Job description
Telecommuting Role 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. 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 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 and each day presents a new set of challenges. And that's where UnitedHealth Group's family of businesses is taking the lead. We see those challenges as opportunities, but we can't do it alone. You'll play a leadership role in a high volume, focus and performance driven call center where the goal is always to connect with members and enhance the customer experience. Now you can take advantage of some of the best training and tools in the world to help serve our members. This role is equally challenging and rewarding. You'll need to stay positive at all times especially in difficult situations. You'll be asked to mentor, challenge and communicate effectively with all different types of people. This position is full-time (40 hours/week), Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 5:30 PM EST (Eastern Standard Time zone). Training will be conducted virtually from your home. • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Primary Responsibilities: • Coordinates, supervises and is accountable for the daily/weekly/monthly activities of team members including: • Simple and Complex Claim processing • Incoming call, chat and secure messaging • Proactive outbound campaigns • Manages team commitment inventory • Sets priorities for the team to ensure task completion and performance goals are met • Coordinates work activities with other Supervisors, Specialists, Business Partners, etc. • Identifies and resolves operational problems using defined processes, expertise and judgment • Provides coaching and feedback to team members, including coaching as well as formal corrective action • Conducts performance reviews for team members • Responsible for providing expertise and customer service support to members, customers, and/or providers, including responding to escalated callers • Direct phone-based customer interaction to answer and resolve a wide variety of inquiries • Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit 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 higher) • 2+ years of experience in a customer service-related environment • Experience with using computer and Windows personal computer applications, including keyboard and navigation skills • Experience with using computer and Microsoft Office: Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management) • Ability to work any 8-hour shift between the hours of 8:00 AM - 5:30 PM EST (Eastern Standard Time zone) from Monday - Friday Preferred Qualifications: • 1+ years of experience in processing claims with UMR Claims Processing System (UMR is UnitedHealthcare's third-party administrator (TPA) solution and the candidate must work within UMR to have experience with this system) • Experience with and understanding of the healthcare industry Telecommuting Requirements: • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Ability to keep all company sensitive documents secure (if applicable) • 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 including the ability to understand multiple products and multiple levels of benefits within each product • Adeptness in learning new computer programs; the ability to type and talk at the same time and toggle between multiple screens Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none. California, Colorado, Connecticut, Nevada, Washington or New York City Residents Only: The salary range for California/Colorado/Connecticut/Nevada/Washington/New York City residents is $46,700 - $91,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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 #YELLOW
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Licensed Psychiatric Mental Health Nurse Practitioner
Headway · Centralia, WA
" Licensed Psychiatric Nurse Practitioner Wage: Up to $206.36/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner? Whether you want to see patients alongside a full-time job or grow a full-time practice, Headway makes it easy to accept insurance, boost your earnings, and focus on care - without the administrative burden. It's all on one free-to-use platform, no commitment required. About the role This position is for licensed psychiatric nurse practitioners looking to start or grow their private practice. Headway provides the tools, resources, and support to help you navigate insurance, streamline operations, and let you focus on what matters most - your patients. About you • You're a fully licensed psychiatric nurse practitioner with your DEA or CDS number, ANCC or AANP board certification, a valid NPI number and malpractice insurance. • You're looking to start or expand your private practice while maintaining control over your schedule, client load, and work environment. Why partner with Headway? As an independent provider with Headway, you'll gain access to: • Hassle-free insurance credentialing: Get credentialed for free in multiple states within as little as 30 days. • Increased earnings: Secure competitive rates with top insurance plans through our nationwide network. • Predictable bi-weekly payments: Receive reliable payouts directly from Headway. • Built-in EHR tools: Access real-time scheduling, secure client messaging, documentation templates, assessments, and more. • Compliance & audit support: Stay up-to-date with insurance requirements and industry regulations. • Free continuing education: Earn CEUs and expand your expertise through Headway Academy. How Headway supports your patients • Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. • Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Important Notes • This is a 1099 independent contractor role. You'll have full autonomy over your practice, including setting your hours and managing your caseload. • At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation's largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We'll take care of the rest.
Patient Access Representative The Patient Access Representative serves as the first point of contact for patients. Candidates must provide exceptional customer service while facilitating general appointment and escalation appointment scheduling. PAR will register new patients, review demographics for existing patients, insurance verification and answer general patient questions. PAR is also responsible for preparing patient messages to providers, triage, surgical scheduling and other internal departments. This role plays a critical part in ensuring a positive patient experience andsupporting accurate, timely access to the patients. What You'll Be Doing • Greets patients in a prompt, courteous, and helpful manner. • Handling inbound calls for a high-volume practice while working remotely • Verifies and updates current insurance information, demographics with the Patient • Register New Patients in EMR • Accurately document patient requests/concerns in EMR (EPIC) • Resolve patient inquiries and concerns and escalate emergent concerns appropriately and in a timely manner • Performs all other duties as assigned. 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Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. Work Environment This job operates in a remote environment. This role routinely uses standard office equipment such as computers, phones, faxing through Ring Central Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. 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About US Urology Partners U.S. Urology Partners is one of the nation's largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy. U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Pharmacy Technician - Prior Authorizations - Work From Home
CVS Health · Centralia, WA
CVS Health Pharmacy Technician We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, timely, and accurate documentation. - Reviews potential prior authorization denial language to ensure NCQA requirements are met. - Follows prior authorization workflow, policies, and procedures during the course of the workday. - Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or decisions. - Maintains a balance of productivity, quality and timeliness of work. - Participates in training and continuing education as required. - Participates in team/departmental meetings as required. - Excellent attendance is a must. - Successful pharmacy technicians will be proficient in drug name and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization decisions. - Successful pharmacy technicians will possess good written and verbal communication skills. Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 8:30pm (may vary by time zone). Pharmacy Technicians work 8 hours shifts that may fall in between these hours of operations. Overnight shifts may also be available, but not guaranteed. Work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including on weekends and holidays. Part time positions are not available. Position requires the ability to work extended hours when necessary. Rotating weekend schedule may be required. Candidate must have their own home internet access with minimum speed of 100mbps download (internet can be hard wired with Ethernet cord). Candidate must also have a secure workspace/office in their home. Candidate must have high level skill with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens). Required Qualifications - National Pharmacy Technician certification and Arizona or applicable state Pharmacy Technician license, current and in good standing, are required and must be maintained. - Between 1-5+ years of Pharmacy Prior Authorization processing experience. - Ability to Multi-task and prioritize work. - Ability to adjust based on business or department needs. - Good organization skills Preferred Qualifications - Retail or Hospital experience - Managed Care or Medicaid experience - AS400 experience - Proficiency in using computerized resources and software applications - Proficiency with Microsoft applications (Excel, Word, and Outlook) - Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information - Working knowledge of drug dosage forms, drug strength, generic and brand name equivalent. Education High School diploma, G.E.D. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $35.29 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.
Customer Care Specialist Now hiring for a Customer Care Specialist. Location: Based out of Eden Prairie, MN (this is a remote position). Pay Rate: $20.00 per hour. From "Hello" to "Happy Customer". Be the Difference! Looking for Customer Care Specialist jobs in Eden Prairie where great communication makes a real difference? This opportunity lets you assist customers, solve problems, and build positive relationships while helping deliver outstanding service every day. If your skills and experience are a good match for this role, please apply today. What You Will Do As a Customer Care Specialist, you will assist customers by answering questions, resolving concerns, processing requests, maintaining accurate records, and providing timely follow-up. You will communicate professionally across multiple channels while documenting interactions, supporting internal teams, and helping deliver a positive customer experience through accurate, responsive, and courteous service. The Customer Care Specialist provides customer support that helps strengthen relationships and maintain a positive experience throughout every interaction. This role requires strong communication skills, attention to detail, and a commitment to delivering quality service. Successful Customer Care Specialist candidates understand the importance of listening carefully, responding professionally, and following through on customer requests. Organization and teamwork contribute to successful service outcomes. Education Requirements: Associate's degree or equivalent experience. Experience Requirements: 2+ years of customer service experience or an equivalent combination of education and experience. Ability to provide professional, courteous, and solution-focused customer service. Intermediate to advanced computer skills, including using Microsoft Office – Excel, Word, and PowerPoint. Excellent organizational skills with the ability to manage multiple priorities. Commitment to professionalism, accuracy, and customer satisfaction. Working knowledge of Salesforce. Skills and Qualifications: Advanced troubleshooting, strong problem-solving, and organizational skills. Ability to deal patiently with problems and complaints and to remain courteous when faced with difficult or angry customers. Superior phone and customer service skills/etiquette. Excellent verbal, written, listening, and interpersonal skills. Ability to handle confidential information. Benefits: Competitive Weekly Pay. Comprehensive Benefits including medical, dental, and vision coverage. Life and Disability Insurance for added peace of mind. Optional 401(k) Plan to help you prepare for the future. Supportive Team Environment focused on professional growth and customer success. About Us: At Staffmark, we connect hardworking people with great companies, creating opportunities that make a lasting impact. Staffmark is an equal opportunity employer. All applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other legally protected status. Staffmark offers reasonable accommodations for qualified individuals with disabilities; contact your local branch for inquiries. Staffmark is an E-Verify employer. See our Privacy Notice for Candidates and Employees/Contractors at By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners. Frequency varies and message/data rates may apply. Reply STOP to cancel or HELP for help. The base pay range listed reflects what we reasonably expect to offer for this role. Actual pay may vary based on location, experience, and performance. Depending on the position, benefits may include medical, dental, and vision coverage; retirement and savings plans; paid holidays and time off; supplemental insurance; and additional wellness or incentive programs.