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Customer Service Representative - Costa Mesa, CA - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Costa Mesa, CA Costa Mesa, California |
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
As a Customer Service Representative,
we'll empower you to deliver resolutions on simple to complex pharmacy
care related concerns. Every day, you'll deliver an exceptional
experience to between 50 to 70 callers, in a compassionate manner -
always remembering that there is a real person on the other end of the
phone who is looking for help, guidance, and support. Every phone call
gives you that opportunity to improve the lives of our customers and
exceed their expectations. That is right; at OptumRX you will be a part
of an elite team as you grow and develop at a pace that energizes your
career and makes the most of your promise.
To learn even more
about this position, hear from our other Pharmacy Customer Service
Representatives. Click here to watch a short video:
http://uhg.hr/pharmCSRvideo
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
Requirements
- 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 - English/Spanish Bilingual Preferred
- 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
- 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
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.
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