Remote Patient Support Specialist

RXinsider LTD.; Torrance (CA); On-site; USD 22,000 - 40,000; Full time

Job summary

UnitedHealth Group’s Optum is hiring for a remote Patient Support role in California. This full-time position offers 40 hours per week with weekdays 8-5 PT, training virtually at home, and a focus on delivering accurate, compassionate customer service to members.

The role requires high school diploma, 2+ years in customer service, proficiency with Microsoft 365 and MS Teams, fast typing, and flexibility for overtime. Bilingual English/Spanish is a plus; remote work with strict data privacy.

Qualifications

• High School Diploma / GED OR equivalent experience.
• Must be 18 years of age OR older.
• 2+ years of experience with working in a customer service - based role
• Ability to demonstrate proficiency with using Microsoft suite and other systems to include navigating multiple chat channels within Microsoft Teams
• Ability to type at the speed of 40+ WPM
• Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm PST / Pacific Time from Monday - Friday (Department is 24 / 7), including the flexibility to work year - round, occasional overtime, weekends, and holidays given the business need

Responsibilities

• Meet the performance goals established for the position in the areas of patient satisfaction, accuracy, quality, and attendance.
• Adhere to department standards to adherence metric
• Adherence metric is evaluated daily
• Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care, and concern with every internal and external customer
• Multi - task utilizing double monitors for data entry, phone etiquette, and use of resources while maintaining proper guidelines
• Provides services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate
• Assists other Patient Support Center Representatives and Supervisors with daily paperwork load as needed to resolve and / or document patient issues
• Recognizes financial, medical, and legal risks based on data collected during customer interactions and follows appropriate procedures
• Utilizes Optum systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs
• Translates oral information into concise and accurate written documentation per guidelines
• Assists new or potential members in the choice of PCP and supplies general information about medical group
• Pages clinicians and assists Telehealth Nurses as necessary (e.g., arranging DME, transportation and HH)
• Data enters PCP changes into the system and processes paperwork as necessary

Skills

Customer service

MS Office

Typing 40 WPM

Multitasking

Bilingual English/Spanish

Education

High School Diploma

Tools

Microsoft Teams

MS Word

Job description

UnitedHealth Group’s Optum is hiring for a remote Patient Support role in California. This full-time position offers 40 hours per week with weekdays 8-5 PT, training virtually at home, and a focus on delivering accurate, compassionate customer service to members.

The role requires high school diploma, 2+ years in customer service, proficiency with Microsoft 365 and MS Teams, fast typing, and flexibility for overtime. Bilingual English/Spanish is a plus; remote work with strict data privacy.