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Hours Full-time, Part-time
Location Costa Mesa, CA
Costa Mesa, California

About this job



Doing your best.  That's what we want you to do in this role.  Even if
you don't have experience, we provide the training and support for you to start
your career as a Customer Services Representative. Apply today - training
classes start soon!
 
If you share our all-in approach to
people and service, 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 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.
This position is full-time (40 hours/week) Monday -
Sunday. Employees are required to have flexibility to work any of our 8 hour
shift schedules during our normal business hours of (5am-10pm). It may be
necessary, given the business need, to work occasional overtime or weekends. Our
office is located at 3515 Harbor Blvd, Costa Mesa, CA 92626. 
To learn even more about this position, hear from our
other Customer Service Representatives in Pharmacy. Click here to watch a short
video: http://uhg.hr/pharmCSRvideo
Primary Responsibilities:


Answer incoming calls from our customers on issues related to
benefit eligibility questions and prescription status inquiriesHelp guide and educate customers on their prescription
benefits, use of plan, formulary, premiums and status of orders, and claims or
inquiriesAsk appropriate questions and listen actively to identify any
questions or issues while documenting required information in computer
systemsIdentify issues and communicate solutions and steps to 
customers, pharmacies, and  physicians with prescription orders and
reordersEscalate drug related calls as appropriate to licensed
pharmacist for resolutionCoordinate internal resolution of claims exceptions and other
issues to include determining appropriateness of overriding pharmacy claims
edits and error messagesMake outbound calls to customers on prescriptions withhold
orders and payment issueMay also assist with entering new prescription orders into
systemMeet the performance goals established for the position in the
areas of: efficiency, call quality, customer satisfaction, first call resolution
and attendance

Requirements



Prefer 1 year experience in an office setting,  call center
setting or phone support  role  but not requiredAn education level of at least a high school diploma or GED OR
10 years of equivalent working experienceDemonstrated ability in using computer and Windows PC
applications, which includes strong keyboard and navigation skills and learning
new computer programsAbility to remain focused and productive each day though tasks
may be repetitiveAbility to multi-task duties as well as the ability to
understand multiple products and multiple levels of benefits within each
productAbility to work regularly scheduled shifts within our hours of
operation including the training period, where lunches and breaks are scheduled,
with the flexibility to adjust daily schedule, and work over-time and/or
weekends, as neededAll new hires will be required to successful complete Customer
Service training classes and demonstrate proficiency of the
material







 
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(s) (or what we call an assessment) 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. http://uhg.hr/OurApplicationProcess
UnitedHealth Group is working to create the health care system
of tomorrow. Already Fortune 6, we are totally focused on innovation and
change. We work a little harder. We aim a little higher. We expect more from
ourselves and each other. And at the end of the day, we're doing a lot of
good.Through our family of businesses and a lot of inspired individuals,
we're building a high-performance health care system that works better for more
people in more ways than ever. Now we're looking to reinforce our team with
people who are decisive, brilliant - and built for speed.Come to
UnitedHealth Group, and share your ideas and your passion for doing more. We
have roles that will fit your skills and knowledge. We have diverse
opportunities that will fit your dreams.
Diversity creates a
healthier atmosphere: UnitedHealth Group is an Equal Employment
Opportunity/Affirmative Action employer and 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