Customer Service Representative - Remote in OR

Remote, USA Full-time Posted 2025-02-21

If you are located within the state of OR, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

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.

Positions in this function are responsible for providing expertise and customer service support to members, customers, and/or providers.

Turn on the news on any night of the week and you're likely to hear about the changes that are sweeping through our health care system. It's dramatic. It's positive. And it's being led by companies like UnitedHealthcare, part of the UnitedHealth Group family of businesses.

Now, you can take advantage of some of the best training and tools in the world to help serve our members by interfacing and solving issues with their health care providers. As part of our Provider Services group, the quality of support you deliver will directly translate into better care for their patients This is no small opportunity. This is where you can bring your compassion for others while building your career.

As a Customer Service Rep. (also called Medical Office Specialist), you will learn an EMR system and multiple software systems. You will primarily be handling inbound calls from patients to assist with scheduling and general medical-office related questions. Sometimes you will run a project for outbound calls, such as rescheduling patients if a provider is out. You will also make follow-up and return calls to patients as needed. You will document every phone call. You will also attend team meetings and will have one every morning at 8:15 to review the previous day?s statistics. Statistics are recorded but there are no set metrics.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules between our normal business hours of 8:00am ? 5:00pm except for one 30-minute meeting during the week that will occur either at 7:30 am or 5:00 pm depending on scheduling. It may be necessary, given the business need, to work occasional overtime.

We offer approximately 4 - 6 weeks of paid training. The hours during training will be during normal business hours. New hire will have to come to clinic to pick up equipment and set up cell phone for call routing.
? All Telecommuters will be required to adhere to UnitedHealth Group?s Telecommuter Policy.

Primary Responsibilities: ? Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits) ? Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller ? Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff ? Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends ? This role is equally challenging and rewarding ? Within a high-volume setting, you'll need to develop knowledge of insurance packages

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 ? 1 years of experience of healthcare experience ? Experience computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications ? Experience with listening skillfully, collecting relevant information, building rapport and responding to customers in a compassionate manner ? Experience with problem solving to quickly assess current state and formulate recommendations ? Ability to work any 8-hour shift between the hours of 8:00 AM - 5:00 PM from Monday - Friday including the flexibility to work occasional overtime based on business need.

Preferred Qualifications: ? 1 year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) in a medical setting using phones and computers as the primary job tools ? 1 years of experience in a high-volume call center environment

Telecommuting Requirements: ? Reside within the state of Oregon ? 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.

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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