Optum
Call Center Representative - Healthcare Support Agent - San Juan, PR
2 days ago Be among the first 25 applicants
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.
If putting a smile on someone's face puts one on yours, you belong on our team. Here at Optum Puerto Rico Operations, we've brought together teams of incredibly compassionate and positive people to help serve our members and providers when they reach out to us with questions. Your helpful personality combined with our support, training and development will ensure your success. This is no small opportunity. This is a chance to leverage your compassion for others and build a rewarding career.
Primary Responsibilities
Provide phone support to address the needs of members and providers using probing questions to thoroughly understand the type of assistance required
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Research complex issues across multiple databases and work with support resources to resolve member and provider issues and/or partner with others to resolve escalated issues
Assist customers in navigating UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our tools
Collect relevant information, build rapport, and respond compassionately
May require contacting home plan on behalf of the member/provider to assist with preauthorization's and/or confirm/verify claim/benefit information
Other duties may apply
This role is equally challenging and rewarding. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you’ll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.
ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***
Required Qualifications
1+ years of experience in any of the following areas: customer service experience analyzing and solving customer problems, call-center environment, and or health care setting analyzing and solving customer problems
Proven intermediate Windows PC navigation proficiency or higher and ability to navigate in multiple systems
Experience demonstrating proficient typing skills
Available to work (40 hours/week) Monday- Sunday. Flexible to work any of our rotational 8-hour shift schedules during our normal business hours of (6:00am to 11:00pm) including daylight savings changes
Bilingual Spanish/English proficiency
Preferred Qualifications
Health care experience
Data entry experience
Proven knowledge of medical or health insurance terminology
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.
UnitedHealth Group 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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Seniority level: Entry level
Employment type: Full-time
Job function: Other
Industries: Consumer Services
Referrals increase your chances of interviewing at Optum by 2x
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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.
If putting a smile on someone's face puts one on yours, you belong on our team. Here at Optum Puerto Rico Operations, we've brought together teams of incredibly compassionate and positive people to help serve our members and providers when they reach out to us with questions. Your helpful personality combined with our support, training and development will ensure your success. This is no small opportunity. This is a chance to leverage your compassion for others and build a rewarding career.
Primary Responsibilities
Provide phone support to address the needs of members and providers using probing questions to thoroughly understand the type of assistance required
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Research complex issues across multiple databases and work with support resources to resolve member and provider issues and/or partner with others to resolve escalated issues
Assist customers in navigating UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our tools
Collect relevant information, build rapport, and respond compassionately
May require contacting home plan on behalf of the member/provider to assist with preauthorization's and/or confirm/verify claim/benefit information
Other duties may apply
This role is equally challenging and rewarding. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you’ll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.
ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***
Required Qualifications
1+ years of experience in any of the following areas: customer service experience analyzing and solving customer problems, call-center environment, and or health care setting analyzing and solving customer problems
Proven intermediate Windows PC navigation proficiency or higher and ability to navigate in multiple systems
Experience demonstrating proficient typing skills
Available to work (40 hours/week) Monday- Sunday. Flexible to work any of our rotational 8-hour shift schedules during our normal business hours of (6:00am to 11:00pm) including daylight savings changes
Bilingual Spanish/English proficiency
Preferred Qualifications
Health care experience
Data entry experience
Proven knowledge of medical or health insurance terminology
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.
UnitedHealth Group 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.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Seniority level: Entry level
Employment type: Full-time
Job function: Other
Industries: Consumer Services
Referrals increase your chances of interviewing at Optum by 2x
#J-18808-Ljbffr