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Customer Service Representative | Open to Fresh Graduates

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Optum

1mo ago

  • Job
    Full-time
    Entry Level
  • Customer Relations
    Healthcare
  • Quezon City

AI generated summary

  • You need a high school diploma or equivalent, computer skills, strong listening and problem-solving abilities, and a compassionate approach to customer interactions.
  • You will handle provider calls, resolve issues efficiently, maintain documentation, build positive relationships, and adapt to changing policies in a high-volume environment.

Requirements

  • High school diploma, GED or equivalent work experience
  • 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 skilled 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

Is this position open to fresh graduates?

Yes, this position is open to fresh graduates.

What are the primary responsibilities of a Customer Service Representative at Optum?

As a Customer Service Representative, you will be responsible for answering incoming phone calls from health care providers, identifying their assistance needs, resolving issues on the first call, delivering information positively, completing necessary documentation, and complying with company policies and directives.

What qualifications are required for this position?

The required qualifications include a high school diploma, GED, or equivalent work experience, familiarity with computer and Windows PC applications, demonstrated listening skills, the ability to build rapport with customers, and proven problem-solving skills.

What kind of support will I provide to health care providers?

You will assist health care providers with inquiries related to benefits and eligibility, billing and payments, authorizations for treatment, and explanations of benefits.

What kind of training will I receive once hired?

Once hired, you will receive comprehensive training to equip you with the necessary skills and knowledge to effectively serve our members and assist health care providers.

Is a background in healthcare necessary for this role?

A background in healthcare is not necessary; however, strong communication skills and a willingness to learn about healthcare systems and products are important.

What tools and systems will I need to learn?

You will need to navigate complex computer systems and utilize various software applications specific to your role, with training provided to help you learn these tools.

Does Optum promote a diverse work environment?

Yes, Optum values diversity and inclusion and is committed to providing equal employment opportunities to all qualified applicants, regardless of their background.

What is the work environment like at Optum?

The work environment at Optum is collaborative and fast-paced, focused on delivering quality support to health care providers while promoting caring and compassionate interactions.

What are the company's values regarding health equity?

Optum is committed to advancing health equity by addressing health disparities and improving health outcomes for all individuals, regardless of their race, gender, or socioeconomic status.

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Optum

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.