Customer Service Representative - Jacksonville, FL - Full-time / Part-time

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.

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.  Join
us and start doing your life's best work.SM

The Customer Service Representative
is responsible for answering incoming calls from customers while
ensuring a high level of customer service and maximizing productivity.
The responsibilities of this position are providing customer service
support to members, customers, and/or providers. Direct phone-based
customer interaction to answer and resolve a wide variety of inquiries.
Individuals chosen for this position will answer questions related to
pharmacy benefits, mail order and pharmacy assistance calls.

Primary Responsibilities:

• Answers
  incoming calls; assists customers/pharmacies/physicians with orders and
  reorders, benefit eligibility questions and prescription status
  inquiries. Escalates drug related calls to appropriate pharmacist.
• Assist
  pharmacies and members on all issues related to processing of pharmacy
  claims. Determines appropriateness of overriding pharmacy claims edits
  and error messages.
• Coordinates internal resolution of claims exceptions and other issues.
• Makes outbound calls on prescriptions with hold orders and payment issues.
• May also assist with entering new prescription orders into system.
• Educates customers on benefits, use of plan, formulary, premiums and status of orders, claims or inquiries.
• Other duties as assigned.

To learn even more about this position, hear from our
Customer Service Representatives. to watch a short video about the job.

Qualifications:

• 1
  year of customer service experience analyzing and solving customer
  problems, OR 1 year of experience in an office setting environment using
  the telephone and computer as the primary instruments to perform job
  duties
• An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
• Authorization to work in the United States
• 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
• 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

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

Diversity
creates a healthier atmosphere: All qualified applicants will receive
consideration for employment without regard to race, color, religion,
sex, national origin, protected veteran status, or disability status.