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in Jacksonville, FL

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Hours Full-time, Part-time
Location Jacksonville, FL
Jacksonville, Florida

About this job

Don't wait to apply - we have training classes starting soon that are designed to set you up for success!

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
There are several steps in our hiring process - it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an  on-line pre-screening test  that we ask you to complete as part of our selection process.  You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail.


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