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Hours Full-time, Part-time
Location Overland Park, KS
Overland Park, Kansas

About this job

Don't
miss out on the perfect career move. Apply today - we have training
classes starting soon 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.


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

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 (Monday-Friday 7am to 9pm and Sunday 8am to 7pm)
  • 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:
customer service representative, customer service, CSR, UnitedHealth
Group, call center, UnitedHealthcare, health care, office, phone
support, training class