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by Chris Durst July 11, 2024
| As we write, this job listing is online and applications appear to be open. But jobs can fill at any time, so apply or share quickly if you’re interested! Sorry, but we have no role in the HR processes of other companies. If you encounter difficulties in the application process please contact them directly. Good luck in your hunt, and may you be working from home soon! |
Optum, part of the UnitedHealth Group family of companies, has posted a Remote Pharmacy Customer Service Representative position to their careers page.
Note: This job was just posted yesterday, but is likely to fill fast! Apply quickly if you are interested!
This full-time role is open to candidates from across the United States with no mention of excluded states.
The Remote Pharmacy Customer Service Representative role involves notifying a provider when a prior authorization is required for specialty patients with acute and chronic disease states. Optum offers a 3-week training program to help ensure you have the information to help you succeed in this position.
Optum does not require applicants to have a college degree, but they should be familiar with Windows PC applications.
The posted pay range is $16-28.27 per hour.
Optum also offers a comprehensive benefits program.
Following are excerpts from the Remote Pharmacy Customer Service Representative job posting:
As a Pharmacy Customer Service Representative or As a Specialty Prior Authorization coordinator, your role will focus on notifying a provider when a prior authorization is required for specialty patients with acute and chronic disease states. In this role you will be preparing prior authorizations for submission, follow up on prior authorization outcome, addressing issues and handling concerns from other corresponding departments.
You’ve heard this all your life. Trust matters. Being trusted matters a lot. Here at OptumRx we’ve earned the trust of more than 65 million people who rely on us for the prescription drugs that improve their health and lifestyle. Now, we trust that you can take advantage of some of the best training and tools in the world to help serve our customers and their care providers.This is no small opportunity. This is where you can bring your compassion for others while building your career.
This position is full-time. Employees are required to work any 8-hour shift during our normal business hours of 7:00 AM – 7:00 PM CST, including the flexibility to work occasional overtime based on business need.
We offer 3 weeks of paid training. The hours during training will be 9:00 am – 5:30 pm EST, Monday – Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Handle Initiating PA requests
- Validating insurance types (Medicaid, Medicare, Commercial, etc.)
- Accessing multiple Optum resources to check PA status and benefits
- Problem-solve with decisiveness and urgency and escalate to operations partners, team leads, management and other stakeholders
- Ensure patients and providers are supported by following escalation through to finish
- Enters notes / information into pharmacy processing system.
- Focus on patient care and quality assurance
This role is equally challenging and rewarding. You’ll be called on to research complex issues pertaining to member prescription and/or pharmacy benefits across multiple databases which requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
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 work experience OR 1+ year customer service or healthcare industry experience
- Must be 18 years of age OR older
- Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Ability to work any 8-hour shift between the hours of 7:00 AM – 7:00 PM CST including the flexibility to work occasional overtime based on business need
- Ability to attend training from 9:00 am – 5:30 pm EST, Monday – Friday for 3 weeks
Preferred 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
- Knowledge of insurance and third-party billing systems
- General knowledge of pharmacy laws, practices and procedures
- Prior Authorization Experience
- Experience in pharmacy or healthcare
Telecommuting Requirements:
- 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
Soft Skills:
- Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
- Maintain strict confidentiality and adhere to all privacy and security regulations when handling sensitive information
- Ability to manage multiple tasks and set priorities
- Ability to establish and execute action plans; able to share your past successes
- Ability to be diplomatic when faced with conflict, and always communicate in a professional and courteous manner
- Ability to produce quality results with a detail-oriented focus
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The hourly range for this is $16.00 – $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
HOW TO APPLY
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CLICK HERE for full details and to apply for this Remote Pharmacy Customer Service Representative position. For more jobs like this, check our Newest Jobs & Gigs page. To be the first to hear about jobs like these, join our free Telegram channel. Good luck as you make your work from home plans a reality!
