Jobs in America

Patient Support Center Representative

High School 1 Year

A minimum of 12 months of experience working in the same field is mandatory for this job. Have you considered whether full time work aligns with your desired level of compensation and benefits? USD 20 - 23 is what you can expect to earn if you are successful in your application for this job. It is a mandatory requirement for this job opening that you have passed High School as a minimum qualification. This job is located in California, but it can be done remotely from anywhere with an internet connection. The job opportunity for Patient Support Center Representative was posted on January 2, 2024, and it will come to an end on April 1, 2024.

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. 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 (75+calls per day), 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. Shifts will be on rotating schedules and may be comprised of 8 hours as business requires for this 7 days a week, 24 hours a day operation. It may be necessary, given the business need, to work occasional overtime.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Meet the performance goals established for the position in the areas of patient satisfaction, accuracy, quality, and attendance
  • Meet department standards to adherence metric. Adherence metric is evaluated daily
  • Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with 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
  • 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

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.

Years of post-high school education canbe substituted/is equivalent to years of experience.

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Required Qualifications:

  • High school diploma/GED OR equivalent experience
  • 2+ years working in a customer service-based role
  • Worked or is currently working as a contractor placed at UHG or one of its subsidiaries or affiliates
  • Demonstrated proficiency using Microsoft suite and other systems to include navigating multiple chat channels within Microsoft Teams
  • Ability to work rotating shifts. It may be necessary, given the business need, to work occasional overtime
  • Dedicated work area established that is separated from other living areas and provides information privacy
  • Ability to keep all company sensitive documents secure (if applicable)
  • Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

  • 1+ years working in a healthcare setting
  • Bilingual in English and any of the following languages: Spanish, Russian, Mandarin, Cantonese, Korean or other

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $16.00 to $27.31 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Have you discussed this job opportunity with a mentor or career advisor? If so, it's time to make a decision. We welcome applications from individuals who are certain that they can fulfill the responsibilities and expectations of this job. We encourage you to ask questions and seek clarification before submitting an application. Don't underestimate the importance of accuracy when it comes to job applications – it can make all the difference in the hiring process. Nonetheless, there are other job vacancies on that might be a better fit for your career goals and aspirations.