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Call Center Representative (Credentialing) Hybrid - San Juan, PR Job at Optum in

Call Center Representative (Credentialing) Hybrid - San Juan, PR Job at Optum in

OptumSan Juan, PR, United States
Hace 4 días
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Call Center Representative (Credentialing) Hybrid - San Juan, PR

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Call Center Representative (Credentialing) Hybrid - San Juan, PR

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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This role is equally challenging and rewarding. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you’ll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.

Primary Responsibilities

  • Provides customer service support to providers through live phone call or live chat, to give updates on their credentialing status or contracting status and validates state specific requirement
  • Focus on resolving issues on the first interaction, navigating through complex computer systems to identify the status of the issue and provide appropriate response to the provider
  • Deliver information and answer questions in a positive manner to facilitate solid relationships with providers and continue to establish rapport
  • Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
  • Complete outbound calls as needed to complete case resolutions
  • Other duties or projects may apply
  • ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

  • 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
  • Microsoft and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
  • Available to work (40 hours / week) Monday- Friday. Flexible to work any of our 8 hour shift schedules during our normal business hours of 8 : 00am to 6 : 00pm ATL. It may be necessary, given the business need to work holidays and overtime.
  • English proficiency
  • Preferred Qualification

  • Health care experience
  • At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

    Seniority level

    Seniority level

    Entry level

    Employment type

    Employment type

    Full-time

    Job function

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    Other

    Industries

    Hospitals and Health Care

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    Call Center Representative • San Juan, PR, United States