Optum Logo

Optum

Call Center Representative (Chat Support) - San Juan, PR

Posted 5 Days Ago
Be an Early Applicant
In-Office
San Juan
Junior
In-Office
San Juan
Junior
Provides phone and live-chat support to healthcare providers regarding credentialing and contracting status. Resolves issues by navigating complex computer systems, validates state-specific requirements, documents cases, identifies trends, answers questions, maintains provider relationships, and completes outbound calls when needed. Requires computer proficiency, English fluency, customer service experience, and availability for a full-time weekday schedule with possible holidays and overtime.
The summary above was generated by AI
Requisition Number: 2388853
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 role is equally challenging and rewarding. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you'll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.
Primary Responsibilities:
  • Provides customer service support to providers through live phone call or live chat, to give updates on their credentialing status or contracting status and validates state specific requirement
  • Focus on resolving issues on the first interaction, navigating through complex computer systems to identify the status of the issue and provide appropriate response to the provider
  • Deliver information and answer questions in a positive manner to facilitate solid relationships with providers and continue to establish rapport
  • Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
  • Complete outbound calls as needed to complete case resolutions
  • Other duties or projects may apply

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***
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:
  • 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
  • Microsoft and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
  • Available to work (40 hours/week) Monday- Friday. Flexible to work any of our 8 hour shift schedules during our normal business hours of 8:00am to 6:00pm ATL. It may be necessary, given the business need to work holidays and overtime
  • English proficiency

Preferred Qualification:
  • Health care experience

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.

Similar Jobs at Optum

Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provides real-time coaching and support to contact center agents, resolves escalated customer issues involving healthcare claims, payments, benefits, eligibility, and certification, documents resolutions, and helps supervisors maintain production, quality, compliance, and schedule-adherence standards. Requires bilingual Spanish and English proficiency, call center experience, business-operations support experience, and strong computer skills.
Top Skills: ExcelMS OfficeMicrosoft OnenoteMicrosoft Project
5 Days Ago
In-Office
Junior
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Supervises non-clinical contact center operations, including staff training, mentoring, performance and attendance management, workflow oversight, quality improvement, compliance reviews, reporting, and issue resolution. The role develops policies, supports efficient case management, coordinates with senior operations leadership, and ensures quality care and provider satisfaction. Requires schedule flexibility in a 24/7 environment and strong English communication skills.
Top Skills: Database SystemsExcelProduction Platforms
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provide bilingual English- and Spanish-language telephonic support to patients, customers, and providers. Handle appointment scheduling, insurance verification, patient account creation, demographic updates, electronic health record documentation, and inquiry resolution. Accurately document interactions, protect confidential information under HIPAA, meet quality standards, and escalate complex issues. The role requires a 40-hour schedule in a 24/7 operating environment, including possible weekends, holidays, and overtime.
Top Skills: Electronic Health Records (Ehr)Google DocsGoogle SheetsExcelMicrosoft Word

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account