CSR Specialized - OPI

UnitedHealth Group; Makati; Presencial; PHP 223 000 - 391 000; Tempo integral

Resumo da oferta

Optum Global Solutions (Philippines) Inc. is seeking a Provider Services professional to handle provider inquiries by phone, resolving issues related to benefits, eligibility, billing, and authorizations.

You will build rapport, provide clear information, and document interactions to help improve care delivery for members. In a high-volume environment, you will learn our products and benefits to assist providers and their staff effectively, while complying with company policies and flexible work

Qualificações

• College graduate of any four year course
• Familiarity with computer and Windows PC 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

Responsabilidades

• Answer incoming phone calls from health care providers and identify the type of assistance needed
• Focus on resolving issues on the first call by navigating through computer systems
• Deliver information and answer questions to facilitate relationships with providers
• Complete documentation to track provider issues and report trends
• Adhere to employment contracts, policies and directives as applicable by the company

Conhecimentos

Customer service

Active listening

Empathy

Problem solving

Formação académica

4-year college degree

Ferramentas

Windows PC applications

Descrição da oferta de emprego

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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like Optum, part of the UnitedHealth Group family of businesses. Now, 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 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.

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 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 (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications

• College graduate of any four year course
• Familiarity with computer and Windows PC applications, which includes 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+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Health care experience

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves 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.

Optum is a drug‑free workplace. © 2026 Optum Global Solutions (Philippines) Inc. All rights reserved.