Patient Support Center Representative – National Remote

Optum CA is seeking a Patient Support Center Representative to join our team. Optum is a clinician-led care organization that is changing the way clinicians work and live.

 

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

 

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

As a Patient Support Center Representative, you will be responsible for acting as a patient advocate to help resolve patient issues pertaining to claims, benefit referrals, physicians and access. You will also be responsible for managing high – volume of inbound calls (75+ calls per day), enter patient information into information systems, and resolve caller’s issues with outstanding customer service skills. In addition, serve as a liaison between the patient and other departments and Optum sites.

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift with rotating schedules during our normal business hours (7 days / week, 24 hours, year – round). It may be necessary, given the business need, to work occasional overtime, weekends, and holidays.

We offer weeks of on-the-job training. The hours of training will be based on your schedule or will be discussed on your first day of employment.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

• Meet the performance goals established for the position in the areas of patient satisfaction, accuracy, quality, and attendance
• Meet department standards to adherence metric
• Adherence metric is evaluated daily
• Consistently exhibits behavior and communication skills that demonstrate Optum’s commitment to superior customer service, including quality, care and concern with every internal and external customer
• Multi – task utilizing double monitors for data entry, phone etiquette, and use of resources while maintaining proper guidelines
• Provides services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate
• Assists other Patient Support Center Representatives and Supervisors with daily paperwork load as needed to resolve and / or document patient issues
• Recognizes financial, medical and legal risks based on data collected during customer interactions and follows appropriate procedures
• Utilizes Optum systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs
• Translates oral information into concise and accurate written documentation per guidelines
• Assists new or potential members in the choice of PCP and supplies general information about medical group
• Pages clinicians and assists Telehealth Nurses as necessary (e.g., arranging DME, transportation and HH)
• Data enters PCP changes into the system and processes paperwork as necessary

 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of experience working in a customer service – based role
• Previously worked OR currently working as a contractor placed at UHG OR one of its subsidiaries OR affiliates
• Ability to demonstrate proficiency using Microsoft Suite and other systems, including navigating multiple chat channels within Microsoft Teams
• Ability to work rotating shift schedules
• Ability to work any of our 8-hour shift schedules during our normal business hours (7 days / week, 24 hours, year – round), including the flexibility to work occasional overtime, weekends, and holidays, based on the business need

 

Preferred Qualifications:

• 1+ years of experience working in a healthcare setting
• Bilingual fluency in English and any of the following languages: Spanish, Russian, Mandarin, Cantonese, Korean, OR others

 

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 – $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.

 

 

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.

 

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