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Customer Service Specialist

1 week ago

Makati City, National Capital Region, Philippines UnitedHealth Group Full time

Welcome to Optum, where we strive to make a difference in the lives of our members. As a key member of our team, you will play a vital role in delivering exceptional customer service and support to our clients.

About the Role

In this position, you will be responsible for managing the intake of new members, coordinating with healthcare providers, and ensuring seamless transitions throughout the care continuum.

Key Responsibilities:
  • Manage the referral process, processing incoming and outgoing referrals and prior authorizations.
  • Work closely with hospitals, clinics, and other healthcare facilities to ensure accurate and efficient communication.
  • Provide effective triage and care coordination, utilizing your knowledge of ICD-9 and CPT codes to inform decisions.
  • Collaborate with colleagues to resolve complex cases and improve health outcomes.
Requirements
  • H.S. Diploma or equivalent required.
  • 1+ year of customer service experience analyzing and solving customer problems.
  • Limited work experience.
  • Ability to type and talk simultaneously, navigating multiple screens with ease.

This role requires strong analytical skills, attention to detail, and the ability to work in a fast-paced environment with minimal supervision.