Call Center Representative (Credentialing) - San Juan, PR
About The Position
Optum is hiring a Call Center Representative to support healthcare providers with credentialing and contracting status inquiries. The role provides customer service through live phone calls and live chat, validates state-specific requirements, and focuses on resolving issues during the first interaction. Representatives navigate complex computer systems, communicate information positively, document provider issues and trends, and make outbound calls as needed to resolve cases. This position follows an office-based schedule with three in-office days per week. Training covers the products, plans, and benefit levels available to members. An English proficiency assessment is required after application. The role offers performance recognition and development opportunities.
Requirements
- At least 1 year of experience in a related environment, such as office, administrative, clerical, or customer service work, using phones and computers as primary job tools.
- Ability to use Microsoft and Windows PC applications and navigate and learn new, complex computer system applications.
- Available to work 40 hours per week, Monday through Friday, on any of the 8-hour shifts during normal business hours of 8:00 a.m. to 6:00 p.m. ATL.
- Flexibility to work holidays and overtime when necessary due to business needs.
- English proficiency; an assessment is required after application.
Nice To Haves
- Healthcare experience.
Responsibilities
- Provide customer service support to providers through live phone calls or live chat, providing credentialing or contracting status updates and validating state-specific requirements.
- Resolve issues on the first interaction by navigating computer systems to identify issue status and provide an appropriate response.
- Deliver information and answer questions positively to build relationships and rapport with providers.
- Complete documentation needed to track provider issues and report overall trends.
- Make outbound calls as needed to complete case resolutions.
- Perform other duties or projects as needed.
Benefits
- Comprehensive benefits.
- Career development opportunities.
- Performance recognition.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
