We are on the lookout for a skilled Customer Service Representative to join our Healthcare/NHS team based in Signal Hill, CA, United States. This role offers a long-term contract employment opportunity. As a Customer Service Representative, you will play a key role in managing and processing customer credit applications, maintaining precise customer credit records, and addressing customer inquiries. This role will also involve monitoring customer accounts and taking necessary action.

Responsibilities:

Meet the performance goals established for the position in the areas of patient satisfaction accuracy quality and attendance

Meet department standards to adherence metric

Adherence metric is evaluated daily

Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service including quality care and concern with every internal and external customer

Multi - task utilizing double monitors for data entry phone etiquette and use of resources while maintaining proper guidelines

Provides services to internal and external customers involving the exchange of complex and sensitive information while acting as patient advocate

Assists other Patient Support Center Representatives and Supervisors with daily paperwork load as needed to resolve and / or document patient issues

Recognizes financial medical and legal risks based on data collected during customer interactions and follows appropriate procedures

Utilizes Optum systems to resolve customer needs such as appointments authorizations claims invoices eligibility benefits appeals TARs

Translates oral information into concise and accurate written documentation per guidelines

Assists new or potential members in the choice of PCP and supplies general information about medical..

• Proven experience in a customer service role within the healthcare industry

• Proficiency in data entry and managing documentation

• Demonstrable knowledge of healthcare procedures and policies

• Ability to schedule appointments efficiently and handle invoicing

• Strong commitment to quality and time management

• Experience in providing workstation support and using internet-based applications

• Knowledge of medical coverage and benefits functions

• Ability to manage paperwork and perform ad-hoc financial tasks

• Experience in claim administration

• Proficiency in English and Spanish languages

• Excellent communication skills both verbal and written

• Regular attendance and punctuality is crucial

• Proficiency in Microsoft Office Suites, including Word, Excel, and PowerPoint

• Experience in conducting interviews and training sessions