Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast growing environment.
Doing your best. That's what we want you to do in this role. Even if you don't have experience, we provide the training and support for you to start your career as a Customer Services Representative. Apply today - training classes start soon!
If you share our all-in approach to people and service, excellence, you’re going to be amazed at the things we’re doing here at OptumRx. We’re one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. As a member of one of our customer service teams, you’ll be empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing your life's best work.SM
As a Customer Service Representative, we’ll empower you to deliver resolutions on simple to complex durable medical equipment and medical supply needs. Every day, you’ll deliver an exceptional experience to between 25 to 35 callers, in a compassionate manner - always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. Every phone call gives you that opportunity to improve the lives of our customers and exceed their expectations. That is right; at OptumRX you will be a part of an elite team as you grow and develop at a pace that energizes your career and makes the most of your promise.
This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of (8am - 5pm). It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 250 Progressive Way, Westerville, OH 43082.
To learn even more about this position, hear from our other Customer Service Representatives in Ancillary Services. Click here to watch a short video: http://uhg.hr/pharmCSRvideo
There are several steps in our hiring process - it’s a thorough process because we want to ensure the best job and culture fit for you and for us. In today’s ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you’ll receive an email with next steps. This may include a link for an on-line pre-screening test(s) (or what we call an assessment) that we ask you to complete as part of our selection process. You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail. http://uhg.hr/OurApplicationProcess
Coordinate care for all services ordered by healthcare provider in order to meet the treatment needs of the member
Own member referral from start to end. This includes coordination of medical supplies and/or equipment, coordination of home or office visits, follow-up communication, etc.)
Review all medical treatment/health services documentation and verify all ordered services are rendered as prescribed by the ordering provider
Handle all equipment orders, including simple durable medical equipment orders to monthly recurring medical supplies
Create, maintain, and update patient records and associated schedules
Verify the delivery of all ordered services, medical supplies and/or equipment to patients
Conduct follow-up phone calls to patients, providers, physicians, adjustors, and other parties as needed; recognizing and resolving customer issues in a timely manner and escalating to leadership only as necessary
Generate purchase orders authorizing services and medical supplies and/or equipment to our providers and ensures appropriate billing by entering accurate information into the system
Maintains patient privacy and confidentiality under requirements of federal and state laws, including HIPAA, and in accordance with company policy.
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues.
Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance
Spanish Bilingual Required
Prefer 1-year experience in an office setting, call center setting or phone support role but not required
An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs
Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed
All new hires will be required to successful complete Customer Service training classes and demonstrate proficiency of the material
Ability to remain focused and be productive each day though tasks may be repetitive
Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product
Ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (in respectful, timely manner, consistently meeting commitments)
Ability to actively listen, collect relevant information, prioritize requests and anticipate current/future member needs
Ability to problem-solve, quickly identify member needs and make recommendations.
Ability to translate healthcare-related jargon and complex processes into simple, step-by-step instructions members can understand and follow
UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.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.
Keywords: UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Pharmacy, PBM, Pharmacy Benefit Management, inbound calls, Call Center