Senior Customer Service Representative - Remote in CST

Optum; Dallas (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Senior Customer Service Representative to join their dynamic team. This role offers the opportunity to work remotely while making a significant impact on health outcomes. You will be responsible for assisting healthcare providers with claim inquiries and ensuring accuracy in processing. The company promotes a culture of diversity and inclusion, and you will benefit from comprehensive training and career development opportunities. If you are passionate about helping others and thrive in a fast-paced environment, this position is perfect for you.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• 1+ years of experience in customer service or related fields.
• Ability to learn new computer systems and applications.

Responsibilities

• Review and research healthcare claim calls from providers.
• Communicate and collaborate with providers to resolve issues.

Skills

Customer Service

Problem-Solving

Communication

Multi-tasking

Education

High School Diploma / GED

Tools

Windows PC Applications

Job description

Senior Customer Service Representative - Remote in CST

Join to apply for the Senior Customer Service Representative - Remote in CST role at Optum

Senior Customer Service Representative - Remote in CST

Join to apply for the Senior Customer Service Representative - Remote in CST role at Optum

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.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:30 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 5 weeks of on-the-job training. The hours of the training will be 8:00 am - 4:30 pm CST.

If you are located in Central Time Zone, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities

• Review and research incoming healthcare claim calls from providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
• Communicate and collaborate with providers to resolve issues, using clear, simple language to ensure understanding
• Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality and attendance
  
  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• High School Diploma / GED
• Must be 18 years of age OR older
• Working knowledge with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Ability to work from Monday - Friday 8:30 am - 5:00 pm CST, including the flexibility to work occasional overtime based on business need
  
  

Preferred Qualifications

• 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Health care experience
  
  

Telecommuting Requirements

• Reside within Central Time Zone
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  
  

Soft Skills

• Ability to de-escalate calls, listen to customer needs and respond appropriately with compassion and empathy
• Ability to multi-task for extended periods of time, including managing calls while also navigating multiple computer systems
• Ability to remain organized, focused, and productive on highly detailed repetitive tasks
• Problem-solving skills, including the ability to independently research issues using multiple information sources
• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The hourly range for this role is $16.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.



OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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