Customer Service Representative - Open to Fresh Graduates - QC

Optum Philippines; Manila; Presencial; PHP 279 000 - 469 000; Tempo integral

Resumo da oferta

Optum Philippines is seeking a patient-focused support specialist to handle inbound calls from health care providers. You will identify the type of assistance required, navigate complex systems, and deliver accurate information to resolve issues efficiently.

Within a busy environment, you will develop knowledge of our products and benefits to support providers and their staff, while maintaining documentation and complying with company policies.

Qualificações

• High school diploma, GED or equivalent work experience.
• Familiarity with Windows PC applications and basic computer systems.
• Ability to listen skillfully, collect information, and respond compassionately.

Responsabilidades

• Answer incoming phone calls from health care providers and identify the type of assistance needed.
• Resolve issues on the first call by navigating through computer systems and providing responses.
• Provide information clearly to build relationships with providers and staff.
• Document provider issues to track trends and assist reporting.
• Adhere to employment contracts, policies, and directives as required.

Conhecimentos

Active listening

Problem solving

Windows

Formação académica

High school diploma or GED

Ferramentas

Windows OS

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 UnitedHealthcare, 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.

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 regard 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

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.

Required Qualifications

• High school diploma, GED or equivalent work experience
• 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+ year 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.