Patient Support Center Representative

Posted Yesterday
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Maryland Heights, MO, USA
In-Office
16-29 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Provide remote patient support by handling appointments, authorizations, claims, eligibility, and sensitive information. Meet performance and adherence metrics, use multiple systems and dual monitors for data entry and documentation, assist clinicians and telehealth staff, and act as a patient advocate while supporting teammates and resolving patient issues.
Summary Generated by Built In
Requisition Number: 1062171
This position is Remote in Eastern, Central, OR Mountain Time Zones. You will have the flexibility to work remotely* as you take on some tough challenges.
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 position is full-time (40 hours / week), Monday-Friday Employees are required to work any of our 8-hour shift schedules during our normal business hours 7:00am-7:00pm Pacific (Department is 24 / 7). It may be necessary, given the business need, to work year - round, occasional overtime, weekends, and holidays.
We offer 5 weeks of paid on-the-job training. The hours of training will be 8:00 AM - 4:30 PM PST.
Primary 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 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'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:
  • High School Diploma / GED OR equivalent experience
  • Must be 18 years of age OR older
  • 2+ years of experience working in a customer service - based role
  • Ability and proficiency with using Microsoft suite and other systems to include navigating multiple chat channels within Microsoft Teams
  • Ability to type at the speed of 40+ WPM
  • Ability to work any of our full time (40 hours / week) Monday-Friday, 8-hour shift schedules during our normal business hours 7:00am-7:00pm Pacific (Department is 24 / 7), including the flexibility to work year - round, occasional overtime, weekends, and holidays based on business need

Preferred Qualifications:
  • 1+ years of experience with working in a healthcare setting
  • 1+ years of experience in a call center environment
  • Experience working in a virtual environment
  • Experience in working with multiple computer screens while speaking to customers
  • Bilingual Fluency in English and Spanish

Telecommuting Requirements:
  • Reside within Eastern, Central, OR Mountain Time Zones
  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16 - $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
#RPO

Skills Required

  • High School Diploma / GED or equivalent experience
  • Must be 18 years of age or older
  • 2+ years of experience in a customer service-based role
  • Proficiency with Microsoft Suite and navigating multiple chat channels within Microsoft Teams
  • Typing speed of 40+ WPM
  • Ability to work full-time Monday-Friday 8-hour shifts between 7:00am-7:00pm Pacific and flexibility to work overtime, weekends, and holidays as needed
  • Reside within Eastern, Central, or Mountain Time Zones
  • Ability to keep company sensitive documents secure and maintain a dedicated private work area
  • Access to a UnitedHealth Group approved high-speed internet connection
  • Pass a drug test before beginning employment
  • 1+ years experience in a healthcare setting
  • 1+ years experience in a call center environment
  • Experience working in a virtual environment
  • Experience using multiple computer screens while speaking to customers
  • Bilingual fluency in English and Spanish

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth PTO accrues each pay period with eight paid U.S. holidays plus a floating holiday, and generous time away is consistently emphasized. This breadth supports planned and unplanned time off beyond standard vacation days.
  • Parental & Family Support Six weeks of paid parental leave, up to two weeks of paid caregiver leave, Bright Horizons back‑up care, and adoption assistance signal strong family-oriented support. EAP access with counseling sessions further extends help to employees and their households.
  • Wellbeing & Lifestyle Benefits Company‑paid short‑ and long‑term disability, Calm app membership, tuition reimbursement, commuter and FSA accounts, and broad employee discounts expand everyday wellbeing resources. Free or low‑cost virtual visits complement these lifestyle supports.

Optum Insights

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
Cebu, Philippines
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
Detroit, MI
Dublin, Ireland
Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
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