Healthcare Navigator

hace 1 mes


San Juan, San Juan, Puerto Rico UnitedHealth Group A tiempo completo

We are seeking a compassionate and detail-oriented Healthcare Navigator to join our team. As a key member of our organization, you will play a vital role in delivering exceptional customer service to our members and providers.

As a Healthcare Navigator, you will be responsible for providing phone support to address the needs of our members and providers. This includes using probing questions to thoroughly understand the type of assistance required, asking appropriate questions, and listening actively to identify specific questions or issues while documenting required information in computer systems.

You will also be responsible for researching complex issues across multiple databases and working with support resources to resolve member and provider issues and/or partnering with others to resolve escalated issues. Additionally, you will assist customers in navigating UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our tools.

Collecting relevant information, building rapport, and responding compassionately are essential skills for this role. You may also be required to contact home plan on behalf of the member/provider to assist with preauthorizations and/or confirm/verify claim/benefit information.

Primary Responsibilities:
  • Provide phone support to address the needs of members and providers
  • Use probing questions to thoroughly understand the type of assistance required
  • Ask appropriate questions and listen actively to identify specific questions or issues
  • Document required information in computer systems
  • Research complex issues across multiple databases
  • Work with support resources to resolve member and provider issues
  • Partner with others to resolve escalated issues
  • Assist customers in navigating UnitedHealth Group websites

This role requires fluency in computer navigation and toggling while engaging in dialogue with the caller. Our training will provide you with knowledge of the various products, plans, and levels of benefits available to members, enabling you to create positive experiences and earn the gratitude of callers on an hourly basis.

Required Qualifications:
  • 1+ years of experience in customer service, analyzing and solving customer problems, call-center environment, or healthcare setting
  • Proven intermediate Windows PC navigation proficiency or higher and ability to navigate in multiple systems
  • Experience demonstrating proficient typing skills
  • Available to work 40 hours/week Monday-Sunday, flexible to work any of our rotational 8-hour shift schedules during normal business hours (6:00am-11:00pm) including daylight savings changes
  • Bilingual Spanish/English proficiency

The estimated salary for this position is $45,000 - $60,000 per year, based on location and experience.

UnitedHealth Group offers a comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) retirement plan. We also offer opportunities for professional growth and development, including training and education programs.

At UnitedHealth Group, we believe that everyone deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.


  • Healthcare Navigator

    hace 3 semanas


    San Juan, San Juan, Puerto Rico UnitedHealth Group A tiempo completo

    Company OverviewOptum is a leading global organization that delivers care and technology to help millions of people live healthier lives. The company's mission is to make the health system work better for everyone, focusing on improving health outcomes by connecting people with care, pharmacy benefits, data, and resources.