Customer Service Representative

Job Description:

We are seeking dedicated Patient Support Center Representatives who are passionate about healthcare and customer service. This remote position offers the opportunity to work from home while helping to improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need...

Primary Responsibilities: ? Meet performance goals in patient satisfaction, accuracy, quality, and attendance. ? Consistently adhere to department standards, with metrics evaluated daily. ? Exhibit superior customer service in every interaction, both internally and externally. ? Multi-task using double monitors for data entry, phone etiquette, and resource utilization while maintaining proper guidelines. ? Provide services to internal and external customers involving the exchange of complex and sensitive information, acting as a patient advocate. ? Assist other Patient Support Center Representatives and Supervisors with paperwork as needed. ? Recognize financial, medical, and legal risks during customer interactions and follow appropriate procedures. ? Use Optum systems to resolve customer needs, including appointments, authorizations, claims, invoices, eligibility, benefits, appeals, and TARs. ? Translate oral information into concise and accurate written documentation. ? Assist new or potential members in choosing a PCP and provide general information about the medical group. ? Assist Telehealth Nurses and arrange DME, transportation, and home health care as necessary. ? Enter PCP changes into the system and process related paperwork.

Required:
? High School Diploma/GED or equivalent experience.
? Must be 18 years of age or older.
? 2+ years of experience in a customer service-based role.
? Strong proficiency with Microsoft Suite and other systems, including navigating multiple chat channels within Microsoft Teams.
? 1+ years of experience in a healthcare setting.

Hours:
? - Training: 8:00 - 4:30 PST M-F for four weeks
? - Work Hours: 8:30 - 5:00 PST M-F
? 40 hours/week + occasional overtime and holiday shifts as needed

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