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Customer Service Representative

3 months ago

Costa Mesa, United States Unitedhealth Group Full time
Youll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. *OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation, and performance. Join us and start doing your lifes best work. SMNow, you can take advantage of some of the best training and tools in the world to help serve our members by interfacing and solving issues with their health care providers. As part of our Provider Services group, the quality of support you deliver will directly translate into better care for their patients This is no small opportunity. This is where you can bring your compassion for others while building your career.This position is full time (40 hours/week) Sunday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 10:30pm CST. It may be necessary, given the business need, to work occasional overtime and weekends.We offer 3 weeks of paid training. The hours during training will be 8:00am to 5:00pm CST. Training will be conducted virtually from your home.*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.Primary Responsibilities:Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to callerDeliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staffComplete the documentation necessary to track provider issues and facilitate the reporting of overall trendsThis role is equally challenging and rewarding. You'll interact with providers with the intent to develop a relationship with them. Within a high volume setting, you'll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers.Youll 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 work experienceMust be 18 years of age OR olderFamiliarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applicationsSkilled in problem solving to quickly assess current state and formulate recommendationsAbility to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate mannerAbility to work any of our 8-hour shift schedules during our normal business hours of 6:00am - 10:30pm CST, Sunday - Saturday. It may be necessary, given the business need, to work occasional overtime and weekendsPreferred Qualifications:1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job toolsPrior health care experienceTelecommuting Requirements: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 privacyMust live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet serviceCalifornia, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for this is $16.00 - $28.27 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, youll find a far-reaching choice of benefits and incentives.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location, and incomedeserves 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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