CUSTOMER SERVICE REPRESENTATIVE - LAS VEGAS, NV

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.

Working in a call center environment under supervision to receive and process inbound calls from patients, providers and other medical staff.

Execute outbound calls or electronic task to assist with providing medical related services. Assist callers with appointment scheduling, prescriptions refills, facility locations and lab results.

Resolve routine to complex issues.

This position is full time. Sunday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7am - 8pm PST.

It may be necessary, given the business need, to work occasional overtime. Our office is located at 2716 N TENAYA WAY LAS VEGAS, NV 44070.

We offer 4-6 weeks of paid training. The hours during training will be 8am to 5pm PST, Monday - Friday.

Primary Responsibilities :

• Answers a minimum of 11 calls per hour resolving moderate to complex issues.
• Schedule and verify appointments in clinical information system.
• Verify and update patient demographic and insurance information.
• Send and receive tasks to Provider offices to assist patient with access to medical care.
• Receive and process; expedite, stat and at-risk referrals.
• Contact patients to advise of appointment and referral status.
• Extreme high volume data entry.
• Process and resolve expedited patient complaints.
• Review and processing of medication refills.
• Proactive response to inquiries from patients, Providers, and internal medical personnel.

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 experience
• United States Citizenship
• Ability to obtain favorable adjudication following submission of Defense Health Agency eQuip Form SF86
• Must be 18 years of age or older
• Expanded knowledge and use of Excel.
• Ability to demonstrate customer service and proper telephone etiquette.
• Strong oral and written communication skills.
• Advance computer skills in Windows environment.
• Strong listening, critical thinking, decision making, telephone, customer service and problem solving skills.
• Ability to prioritize call types.
• Ability to work full time. Sunday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7am - 8pm PST.

It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications :

• 6+ months experience in a customer service / call center or healthcare environment
• Training in a medical office or customer service related field
• CPT and ICD-10 coding
• Medical Terminology
• Advanced knowledge of insurance products

Physical and Work Environment :

Normal Call Center environment, heavy phone and computer usage.

As a requirement of UnitedHealth Group's contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense eQuip Form SF86, (the National Agency Check Legal and Credit or NACLC).

Successful completion of the NACLC process is a requirement for continued employment in this role. NACLC processing will be initiated by our TRICARE Security Officer post-offer and can take 3-6 months for a final decision communication from the Department of Defense.

Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received.

Failure to obtain final NACLC approval will result in termination from this role.

Nevada 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.

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.

RPO #RED