Demo

Patient Service Representative-Call Center Agent

Robert Half
Los Angeles, CA Other
POSTED ON 4/8/2025
AVAILABLE BEFORE 4/25/2025
We are in search of a Patient Service Representative (Call Center Setting) to join our team and work from home 100% remote. As part of this role, you will be charged with the crucial task of supporting patients by handling inquiries, processing requests, maintaining records, and ensuring a positive customer experience — all while adhering to specific performance metrics.Patient Service Representative (Call Center Setting)  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 a 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 the medical group Pages clinicians and assists Telehealth Nurses as necessary e.g. arranging DME transportation and HH Data enters PCP changes into the system and processes paperwork as necessary You will be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.  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 diversity and inclusion of talented peers' comprehensive benefits and career development opportunities.

Salary : $20

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