Patient Support Advocate
About The Position
This position is Remote in Mountain OR Pacific Time Zone. You will have the flexibility to work remotely 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Patient Support Center Representative, you will be responsible for acting as a patient advocate to help resolve patient issues pertaining to claims, benefit referrals, physicians and access. You will also be responsible for managing high volume of inbound calls, enter patient information into information systems, and resolve caller’s issues with outstanding customer service skills. In addition, serve as a liaison between the patient and other departments and Optum sites. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm, Monday - Friday OR 8:00am to 6:00pm PST, Saturday to Sunday. It may be necessary, given the business need, to work occasional overtime. We offer 30 to 90 days of paid training. The hours of training will be 8:00am to 5:00pm, Monday - Friday.
Requirements
- High School Diploma / GED OR equivalent experience
- Must be 18 years of age OR older
- 1+ years of working in a customer service-based role
- Proficiency using Microsoft Suite and other systems
- Ability to work full-time (40 hours/week). Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm, Monday - Friday OR 8:00am to 6:00pm PST, Saturday to Sunday. It may be necessary, given the business need, to work occasional overtime
Nice To Haves
- 1+ years of working in a healthcare setting
- Bilingual fluency in English and Other language
- Reside within the Mountain OR Pacific Time Zone
- 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
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Responsibilities
- Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Multi-task utilizing double monitors for data entry, phone etiquette, and use of resources while maintaining proper guidelines
- Provides services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate
- Assists other Patient Support Center Representatives and Supervisors with daily paperwork load as needed to resolve and/or document patient issues
- Recognizes financial, medical and legal risks based on data collected during customer interactions and follows appropriate procedures
- Meet department goals which include but not limited to call volume, accuracy, quality, and attendance
- Utilizes Optum systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs
- Translates oral information into concise and accurate written documentation per guidelines
- Assists new or potential members in the choice of PCP and supplies general information about medical group
- Pages clinicians and assists Telehealth Nurses as necessary (e.g., arranging DME, transportation and HH)
- Data enters PCP changes into the system and processes paperwork as necessary
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase and 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
