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Customer Service Representative (Healthcare / Bilingual Preferred) more...
Location:Irvine, CA
Company:OptumCare
First posted:June 09, 2017
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The Customer Care Professional is highly skilled and an experienced Customer Service Representative who is responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity.
Primary Responsibilities:

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)
Provide excellent customer service

Constantly meet established productivity, schedule adherence, and quality standards

Required Qualifications:

Medical Claims knowledge and experience
1+ years of customer service experience analyzing and solving customer problems, OR 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
Available to work 40 hours per week anytime within the operating hours of the site
Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications

Preferred Qualifications:

An education level of at least a high school diploma or GED
Bilingual - Spanish, Farsi, Vietnamese, Korean highly preferred
Ability to navigate a computer while on the phone
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
Ability to work independently
Ability to adapt to a fast paced work environment
Ability to listen using a headset, speak frequently, sit for extended periods of time, use hands/fingers across keyboard or mouse and/or handling other objects
Ability to work long periods working at a computer
Ability to work productively in a service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining OptumCare and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(sm)

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.

Job Keywords: Claims examiner, Medical claims, Health plans, EOB, Spanish, Farsi, Vietnamese, Korean, call center, customer service, Irvine, CA, California

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