US Healthcare Representative - CSR

Optum, a UnitedHealth Group Company; Muntinlupa; On-site; PHP 279,000 - 446,000; Full time

Benefits offered by this job

Competitive pay

Retirement plan

HMO from day 1

Dental, medical, and optical reimburse

Life and disability insurance

Paid time-off

Sick leave conversion

Tuition reimbursement

EAP

Merit increases

Employee recognition

Training and staff development

Employee referral program

Volunteerism opportunity

Statutory benefits

Job summary

Optum Philippines in Alabang is seeking a customer service professional to respond to inquiries on benefits, eligibility and claims, guiding members on plan options and choosing quality care providers.

You will coordinate with doctors and internal specialists for scheduling, provide real-time resolutions or timely follow-up, and join a team dedicated to helping families access exceptional care.

Qualifications

• Fresh graduate preferred in medical allied fields.
• HS/SHS graduate with healthcare BPO experience preferred.
• Excellent communication skills.
• Ability to multi-task and work in shifting schedules in Alabang.

Responsibilities

• Respond to customer inquiries on benefits, eligibility and claims.
• Guide and educate members on consumer-driven health care options and providers.
• Intervene with care providers to assist with scheduling or referrals.
• Provide real-time resolutions and timely follow-up with the member.

Skills

Good communication

Multi-tasking

Shifts willingness

Education

Fresh College Graduate pref. Medical Allied

HS/SHS with healthcare BPO exp

Job description

ROLE AND RESPONSIBILITIES:

• You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and claims.

• You will guide and educate the customer about the fundamentals and benefits of consumer- driven health care topics to help manage their health and well-being. To do this, you will provide guidance in selecting the best benefit plan options and choosing a quality care provider.

• You will intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance, when needed.

• You will provide our customer real time resolutions or through comprehensive and timely follow-up with the member

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life’s best work

JOB QUALIFICATIONS:

• Fresh College Graduate pref. Medical Allied

or

• HS/SHS graduate with BPO experience pref. Healthcare BPO

• Good communication skills

• Ability to multi-task

• Must be willing to report in Alabang

• Must be willing to work on shifting schedules
  

WHAT WE OFFER:

• Market Competitive Pay Levels

• Retirement Plan

• Medical Plan (HMO) from Day 1 of employment

• Dental, Medical, and Optical Reimbursements

• Life and Disability Insurance

• Paid Time-Off Benefits

• Sick Leave Conversion

• Tuition Reimbursement

• Employee Assistance Program (EAP)

• Annual Performance Based Merit Increases

• Employee Recognition

• Training and Staff Development

• Employee Referral Program

• Employee Volunteerism Opportunity

• All Mandatory Statutory Benefits

WHO WE ARE:

• Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.

• UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.

• We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.

• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.

• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together.