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SalaryOptum 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.
Our Customer Service Representatives are professionals who interact with health plan members through outbound and inbound telephonic contact to complete various intake services.
Primary Responsibilities:
- Assist members through outbound and inbound telephonic contact with the prescreen for eligibility of programs
- Return voicemail calls
- Contribute to the department’s success by achieving Objective Key Results
- Achieve daily, weekly, and monthly quality and production goals
- Adhere to call handling process
- Adhere to call quality standards by ensuring proper phone etiquette and adherence to scripts, make accurate and descriptive Member Management System documentation
- Follow-up with members as assigned
- Adhere to assigned schedule
- Review all correspondence sent by Optum and management with current information of state and federal regulatory requirements
- Review all correspondence sent by Optum and management with updates on the organization
- Comply with all company and department operational guidelines and policies
- Participate in Optum staff and operational development programs as assigned
- Performs other duties as assigned
*** ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION ***
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.
- 1+ years of customer service experience analyzing and solving customer problems OR 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- Proven familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Willing or ability to work 40 hours / week during standard business operating hours Monday - Friday from 8am - 11:00pm (It may be necessary, given the business need, to work occasional overtime or weekends)
- Bilingual Spanish/English proficiency
Preferred Qualifications:
- Health care experience
- Call center experience
- Demonstrated medical terminology knowledge
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
