Senior Customer Service Representative
UnitedHealth Group - Costa Mesa, CA

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Position Description:
When you are in the business of health care, you're in the business of people. At UnitedHealth Group we want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care.

The OptumRx Appeals and Grievances Team are growing! This is an excellent opportunity for Licensed Pharmacy Technician with strong customer advocacy skills. The ideal candidate for this role will have a proven track record of reliability and accuracy in the Prior Authorization Department, excellent organizational skills and a desire to delight our members and providers with world class service. Flawless phone skills are a must.

Primary Responsibilities:
Provide excellent customer service
Constantly meet established productivity, schedule adherence, and quality standards
Respond to complex customer calls

Resolve customer service inquiries which could include:
Benefit and Eligibility information
Billing and Payment issues
Customer material requests
Physician assignments
Authorization for treatment
Explanation of Benefits (EOB)


An education level of at least a high school diploma or GED
3+ years of customer service experience analyzing and solving customer problems required; preferably within the Prior Authorization Department
Basic proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications is required
Must have a current Pharmacy Technician certificate
Authorization to work in the United States
Available to work 40 hours per week anytime within the operating hours of the site
Prior stable work experience
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Ability to remain focused and productive each day though tasks may be repetitive

Physical Requirements and Work Environment:
Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

OptumRx is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable health care solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. In the largest and most personal sense, your impact can be greater than even you thought at OptumRx.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

UnitedHealth Group - 2 years ago - save job
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When you work to better people’s lives, one of those lives will always be yours. We have modest goals: Improve the lives of...