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Hours Full-time, Part-time
Location Tucson, AZ
Tucson, Arizona

About this job



If you share our all-in approach to excellence, you're going to be amazed at the things we're doing here at OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. As a member of one of our customer service pharmacy teams, you'll be empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while 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.

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.