Customer Service Representative

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. 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.

This position is full time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 10:30 am - 7:00 pm CST. It may be necessary, given the business need, to work occasional overtime. 

We offer 2 - 3 weeks of on-the-job training. The hours during training will be based off their schedule.

Primary Responsibilities:

• Manage administrative intake of members
• Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and / OR providers
• Scheduling incoming and outgoing peer to peer reviews
• Handle resolution / inquiries from providers
• Other duties as assigned

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with providers over the phone. You also must be able to work a flexible schedule and proactively multi-task.

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 years of work experience
• Must be 18 years of age OR older
• 2+ years of customer service experience in an office, administrative, clerical environment using phones and computers as primary job tools
• Experience working remotely from home
• Experience with computers and Windows based programs including MS Word, Excel (view, filter, sort) and Outlook
• Ability to work full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 10:30 am - 7:00 pm CST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Experience working within the health care Industry and with health care insurance
• Experience work