Pharmacy Customer Service Representative - National Remote

UnitedHealth Group; Overland Park (KS); Remote; Confidential; Full time

Job summary

An established industry player is seeking compassionate individuals to join their team and make a difference in healthcare. This full-time role involves responding to customer inquiries about prescription benefits and eligibility, requiring strong communication and problem-solving skills. With comprehensive training and the flexibility to work from home, you will play a vital role in enhancing health outcomes for millions. If you are passionate about helping others and want to grow your career in a supportive environment, this opportunity is perfect for you.

Benefits

Comprehensive benefits

Career development opportunities

Paid training

Flexible work hours

Qualifications

• Strong customer service skills are essential for handling inquiries.
• Ability to navigate computer systems for documentation and information.

Responsibilities

• Respond to incoming calls regarding prescription benefits and eligibility.
• Guide callers on their prescription benefits and status of orders.

Skills

Active Listening

Customer Service

Communication

Problem Solving

Education

High School Diploma or equivalent

Tools

Computer Systems

Virtual Communication Tools

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

Training classes start soon - apply today!

You’ve heard this all your life. Trust matters. Being trusted matters a lot. Here at OptumRx we’ve earned the trust of more than 65 million people who rely on us for the prescription drugs that improve their health and lifestyle. Now, we trust that you can take advantage of some of the best training and tools in the world to help serve our customers and their care providers. You’ll take as many as 50 - 70 calls per day from members who have questions about their prescriptions and you’ll use your personality and our tools to make each call successful. This is no small opportunity. This is where you can bring your compassion for others while building your career.

This position is full time (40 hours / week), Sunday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during the following business hours 10:30 AM - 10:00 PM CST. Please note that hours are subject to change contingent on business needs which may include occasional overtime, and/or adjust shifts and weekends.

We offer 6 total weeks of paid training (5 weeks in a classroom setting and 1 week of on-the-job training). The hours of training will be 8:30 AM - 5:00 PM CST from Monday - Friday (100% attendance required). Participation on camera is a requirement during training. Once training is completed, you will be assigned a schedule within the hours of 10:30 AM - 10:00 PM CST from Sunday - Saturday. Training will be conducted virtually from your home.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescription status inquiries.
• Schedule deliveries of medications for shipments as needed.
• Guide and educate callers on their prescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries.
• Practice active listening, ask appropriate follow up questions and document required information in applicable applications/computer systems.
• Identify issues, and communicate solutions and steps to customers, pharmacies and physicians with prescription orders and reorders.
• Occasionally required to make outbound calls to internal/external partners.

This role is equally challenging and rewarding. You’ll be called on to research complex issues