CSR - Open to Fresh Graduates - QC

Optum Philippines; Manila; On-site; PHP 223,200 - 279,000; Full time

Job summary

Optum Philippines is seeking a Customer Service Representative to assist health care providers by answering calls and resolving issues. You will need strong problem-solving skills and the ability to navigate computer systems effectively.

The ideal candidate should have a high school diploma or equivalent experience, familiarity with Windows applications, and a compassionate approach to customer service. Join us to contribute to our mission of advancing health outcomes.

Qualifications

• Experience with customer service and problem-solving skills.
• Familiarity with computer and Windows PC applications.
• Ability to listen and respond to customers in a compassionate manner.

Responsibilities

• Answer incoming phone calls from health care providers.
• Resolve issues on the first call and navigate complex systems.
• Document provider issues and report trends.

Skills

Problem solving

Customer rapport building

Computer skills

Education

High school diploma, GED or equivalent work experience

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. At Optum, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Join us and make an impact on the communities we serve as we advance health optimization on a global scale. Training classes start soon – apply today!

Primary Responsibilities

• Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (e.g., benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits).
• Focus on resolving issues on the first call, navigating complex computer systems to identify issue status and provide appropriate response to caller.
• Deliver information and answer questions in a positive manner to facilitate solid relationships with providers and their staff.
• Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends.
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (e.g., transfer or re‑assignment to different work locations, change in teams or work shifts, policies regarding flexibility of work benefits and environment, alternative work arrangements, and other decisions that may arise due to the changing business environment).

Required Qualifications

• High school diploma, GED or equivalent work experience.
• Familiarity with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications.
• Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner.
• Skilled in problem solving to quickly assess current state and formulate recommendations.

Preferred Qualifications

• 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service) using phones and computers as the primary job tools.
• Health care experience.

Optum is a drug‑free workplace.

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