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Pharmacy Customer Service Representative - Mission Valley, CA
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Mission Valley, CA Fremont, California |
About this job
Energize your career with one of health care's fastest growing companies.
You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading health care companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance
The Pharmacy Customer Service Representative is responsible for responding to outbound calls to 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.
You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading health care companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance
The Pharmacy Customer Service Representative is responsible for responding to outbound calls to 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.
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.
• 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.
Requirements
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
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
Diversity creates a healthier atmosphere: 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.
Keywords: UnitedHealth Group, OptumRX, training class, customer service representative, customer service, CSR, Pharmacy, PBM, Pharmacy Benefit Management, inbound calls, Call Center
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