Clinical Care Coordination Specialist (Evenings)

Optum, a UnitedHealth Group Company; Manila; On-site; PHP 290,000 - 424,000; Full time

Benefits offered by this job

Drug-free workplace

Job summary

Optum is seeking a healthcare customer service specialist for our Manila site. You will handle member and provider inquiries, coordinate referrals, and work with clinical teams to support service requests.

This high-volume, telephone-based role requires 1+ year healthcare BPO or call center experience, and willingness to work in Muntinlupa with flexible scheduling.

Join a drug-free workplace and contribute to improving health outcomes through efficient processes.

Qualifications

• Experience in high-volume healthcare support environments.
• Familiarity with referrals, prior authorizations, and provider inquiries.
• Willingness to work on-site at the Muntinlupa site.

Responsibilities

• Manage administrative intake of members.
• Coordinate with hospitals, clinics, and clinical teams for service requests.
• Process referrals and prior authorizations, including intake and census roles.
• Assist clinical staff with document setup and case triage for reviews.
• Handle inquiries from members and providers and resolve issues.
• Adhere to company policies and flexible work arrangements.

Skills

Healthcare BPO experience

Call center experience

Healthcare industry knowledge

Education

Graduate of Medical Allied Course or 4-year course

Job description

Optum is seeking a healthcare customer service specialist for our Manila site. You will handle member and provider inquiries, coordinate referrals, and work with clinical teams to support service requests.

This high-volume, telephone-based role requires 1+ year healthcare BPO or call center experience, and willingness to work in Muntinlupa with flexible scheduling.

Join a drug-free workplace and contribute to improving health outcomes through efficient processes.