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Customer Service Representative, BPO Experienced

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Optum

Jan 8

Applications are closed

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Cebu City
    Remote

Requirements

  • High school diploma, GED or equivalent work experience
  • Moderate work experience within own function
  • Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
  • Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
  • Proven skill in problem solving to quickly assess current state and formulate recommendations

Responsibilities

  • Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
  • Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller
  • Deliver information and answer questions in a positive manner to facilitate solid relationships with providers and their staff
  • Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
  • This role is equally challenging and rewarding. You'll interact with providers with the intent to develop a relationship with them. Within a high volume setting, you'll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers

FAQs

What is the primary role of a Customer Service Representative at Optum?

The primary role involves providing expertise and customer service support to members, customers, and healthcare providers, primarily through phone-based interactions to resolve a variety of inquiries.

What qualifications are required for this position?

A high school diploma, GED, or equivalent work experience is required, along with moderate work experience in a related function, familiarity with computer and Windows PC applications, and strong listening and problem-solving skills.

Is previous healthcare experience preferred for this role?

Yes, previous healthcare experience is preferred, along with 1+ years of experience in a related environment using phones and computers as the primary job tools.

What are the primary responsibilities in this position?

Primary responsibilities include answering incoming calls from healthcare providers, resolving issues on the first call, delivering information in a positive manner, documenting provider issues, and complying with company policies.

What tools will I use in this role?

You will primarily use phones and computers to interact with providers, navigate through various computer systems, and provide assistance.

Is training provided for new hires?

Yes, training classes start soon, and new hires will receive the necessary training and tools to serve members effectively.

What kind of internet connection is required for remote work?

A wired internet connection of 25 Mbps is preferred for remote work, along with potential corporate internet subsidies for eligible locations.

What is the work environment like at Optum?

Optum fosters a culture guided by diversity and inclusion, with a focus on career development opportunities and making a positive impact on health outcomes in the communities served.

Are there opportunities for career advancement?

Yes, Optum offers comprehensive benefits and career development opportunities to help employees grow in their careers.

What is Optum's stance on diversity and inclusion?

Optum is committed to creating a healthier atmosphere through diversity and is an Equal Employment Opportunity/Affirmative Action employer that advocates for equitable opportunities for all qualified applicants.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.

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