UnitedHealth Group-posted 2 months ago
Full-time
PR
5,001-10,000 employees

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Customer Service Representative is responsible for providing telephonic support to patients, customers, and providers. This role involves handling inbound and outbound calls, scheduling appointments, verifying insurance, and updating patient records. The representative will apply moderate knowledge and skills to resolve routine issues independently and collaborate with supervisors for more complex matters. This position requires solid communication, organizational, and technical skills to ensure high-quality service delivery.

  • Handle inbound and outbound calls to identify patient needs and provide appropriate support
  • Schedule, reschedule, confirm, and cancel patient appointments
  • Accurately enter and update patient information in the scheduling system
  • Verify insurance eligibility and identify payer sources
  • Review and update patient demographics and consent forms
  • Create new patient accounts when necessary
  • Transfer calls or relay messages to physicians and nurses
  • Import registration documents into electronic health records
  • Maintain patient confidentiality in accordance with company policies and HIPAA regulations
  • Resolve caller inquiries using internal resources and escalate when needed
  • Document all interactions and resolutions accurately
  • 1+ years of customer service experience in a fast-paced environment
  • Experience with Microsoft Word/Excel or Google Docs/Sheets
  • Professional proficiency in both English and Spanish
  • Candidates must be able to commit to a 40-hour workweek during standard business operating hours, Monday through Friday, between 8:00 AM and 7:00 PM
  • Experience in medical/dental office or scheduling environment
  • Familiarity with healthcare terminology and benefit structures
  • Understanding of HIPAA and other regulatory requirements
  • Proven ability to learn and navigate complex computer systems
  • Proven ability to troubleshoot and follow up on customer issues
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