Customer Service Representative

Optum is a clinician-led care organization that is transforming healthcare. They are seeking a Customer Service Representative to join their team, responsible for assisting customers with medical inquiries, verifying insurance eligibility, and resolving complex issues.

Responsibilities:

• Answer 70-90 incoming phone calls per day, per team from customers and identify the type of assistance the customer needs as well as making outbound calls to customers regarding medical referrals
• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
• Assisting customers with obtaining prescribed medical equipment and supplies
• Verifying insurance eligibility and benefit coverage. Obtaining insurance authorization
• Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
• Other duties as assigned

Requirements:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of customer service experience working in a call center environment
• Experience with computers and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Ability to work full-time (40 hours / week) Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00 am - 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime
• Health care/insurance experience