Customer Service Representative

3 weeks ago


Blue Diamond, Nevada, United States Optum Full time
Optum Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.

We are seeking a skilled Customer Service Representative to join our team. As a key member of our customer service team, you will play a critical role in delivering exceptional customer experiences and ensuring the highest level of satisfaction for our patients and healthcare providers.

Key Responsibilities:

  • Answer and resolve customer inquiries in a timely and professional manner
  • Schedule and verify appointments in our clinical information system
  • Verify and update patient demographic and insurance information
  • Send and receive tasks to provider offices to assist patients with access to medical care
  • Process and resolve expedited patient complaints
  • Review and process medication refills
  • Proactively respond to inquiries from patients, providers, and internal medical personnel

Requirements:

  • High School Diploma / GED or equivalent experience
  • United States Citizenship
  • Ability to obtain favorable adjudication following submission of Defense Health Agency eQuip Form SF86
  • Must be 18 years of age or older
  • Expanded knowledge and use of Excel
  • Ability to demonstrate customer service and proper telephone etiquette
  • Strong oral and written communication skills
  • Advance computer skills in Windows environment
  • Strong listening, critical thinking, decision making, telephone, customer service, and problem-solving skills

Preferred Qualifications:

  • 6+ months experience in a customer service/call center or healthcare environment
  • Training in a medical office or customer service-related field
  • CPT and ICD-10 coding
  • Medical Terminology
  • Advanced knowledge of insurance products

Work Environment:

This is a full-time position, working Sunday to Saturday, with flexibility to work any of our 8-hour shift schedules during our normal business hours of 7am - 8pm PST. Occasional overtime may be required.

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. At Optum, we believe everyone deserves the opportunity to live their healthiest life, and we are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

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.



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