Healthcare Provider Support Specialist

Optum, a UnitedHealth Group Company; Manila; On-site; PHP 335,000 - 469,000; Full time

Job summary

Optum is a global organization focused on delivering care with technology to help millions live healthier lives. We are seeking a Provider Services support specialist in Manila to answer calls from health care providers, identify the type of assistance needed (benefit, eligibility, billing, payments, authorizations for treatment, explanations of benefits), and guide them through the next steps.

You will strive to resolve issues on the first contact by navigating complex systems, documenting

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.

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

Skills

Phone support

Customer service

Active listening

Problem solving

Education

High school diploma or equivalent

Tools

Windows PC

Microsoft Office

CRM systems

Job description

Optum is a global organization focused on delivering care with technology to help millions live healthier lives. We are seeking a Provider Services support specialist in Manila to answer calls from health care providers, identify the type of assistance needed (benefit, eligibility, billing, payments, authorizations for treatment, explanations of benefits), and guide them through the next steps.

You will strive to resolve issues on the first contact by navigating complex systems, documenting