Remote Senior Health Care Support Specialist

Optum; Dallas (TX); Remote; USD 25,000 - 44,000; Full time

Job summary

Optum is hiring a Senior Customer Service Representative to deliver an exceptional experience to 45–65 callers daily from a remote setting within Central, Mountain, or Pacific time zones. The role is full-time (40 hours/week) with potential overtime, training 7:30–16:00 PST, and a path to advancement in a supportive, inclusive environment.

You will review healthcare claim calls, gather required information, and collaborate with providers to resolve issues, while maintaining high standards of

Qualifications

• 1+ years of work at home experience.
• 1+ years of experience working in a call center position.
• Working knowledge with computer and Windows PC applications, including ability to learn new and complex systems.
• Ability to work full-time 40 hours/week, 8-hour shifts, during CST or MST hours.
• Must be 18 years of age or older.

Responsibilities

• Review and research incoming healthcare claim calls from providers by navigating multiple computer systems and platforms and verifies data necessary for processing (pricing, prior authorizations, applicable benefits).
• Ask questions and listen actively to identify issues while documenting information in computer systems.
• Communicate and collaborate with providers to resolve issues using clear language for understanding.
• Meet performance goals in efficiency, accuracy, quality, and attendance.
• Answer incoming calls from members and identify the type of assistance required (benefits, eligibility, billing, authorizations, explanations of benefits).

Skills

Call center experience

Work from home experience

multitask handling

Education

High School Diploma / GED

Tools

Windows PC applications

Job description

Optum is hiring a Senior Customer Service Representative to deliver an exceptional experience to 45–65 callers daily from a remote setting within Central, Mountain, or Pacific time zones. The role is full-time (40 hours/week) with potential overtime, training 7:30–16:00 PST, and a path to advancement in a supportive, inclusive environment.

You will review healthcare claim calls, gather required information, and collaborate with providers to resolve issues, while maintaining high standards of