Customer Service Representative Lead - Remote Opportunity at UnitedHealth Group - Optum: Shaping the Future of Healthcare through Exceptional Patient Experience

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Join the Optum Team: Revolutionizing Healthcare through Technology and Compassion

At Optum, a global organization within UnitedHealth Group, we're on a mission to harness the power of technology and compassion to improve health outcomes for millions worldwide. As a leader in the healthcare industry, we're committed to connecting people with the care, resources, and support they need to live healthier, more fulfilling lives. If you're passionate about making a difference and are looking for a challenging yet rewarding role, we invite you to explore the exciting opportunity to join our team as a Customer Service Representative Lead - Remote.

About the Role: Leading with Excellence in Customer Service

The Customer Service Representative Lead plays a pivotal role in our call center operations, serving as a primary resource for agents and supporting Call Center Supervisors and Managers. This position is not just about leadership; it's about being the heartbeat of our customer service team, ensuring that every interaction with our patients and customers is met with empathy, understanding, and a commitment to excellence. As a remote role based in Las Vegas, NV, you'll have the flexibility to work from home while being an integral part of a dynamic team that's shaping the future of healthcare.

Key Responsibilities: Driving Success through Leadership and Customer Service Excellence

  • Acts as a primary resource for handling staff inquiries regarding policies and procedures, providing clarity and guidance to ensure seamless operations.
  • Communicates procedural changes and guidelines to department staff, ensuring that everyone is aligned and informed.
  • Works closely with Supervisors to maintain high associate morale and motivation, fostering a positive and productive work environment.
  • Executes customer service with a professional tone and manner, setting the standard for exceptional patient experience.
  • Identifies and assesses talent for potential peer trainers and conducts training for newly appointed peer trainers, contributing to the growth and development of the team.
  • Maintains accuracy and efficiency in scheduling and customer interactions, with a focus on achieving key performance metrics.
  • Facilitates conflict resolution on the team and ensures accurate and timely communication of concerns to management, promoting a culture of transparency and trust.
  • Receives and processes STAT priority referrals, demonstrating a commitment to urgency and patient care.
  • Mentors and coaches call center advocates to ensure they meet monthly metrics, providing guidance and support for their success.
  • Performs other duties as assigned, showcasing flexibility and a willingness to adapt to evolving business needs.

Essential Qualifications: The Foundation for Success

To excel in this role, you'll need a strong foundation in customer service, leadership, and healthcare operations. The ideal candidate will possess:

  • A High School Diploma / GED OR equivalent work experience, demonstrating a basic level of education and competency.
  • A minimum of 1+ year of experience in a Healthcare environment, providing a understanding of the industry and its unique challenges.
  • 1 year of experience as a team lead and/or training, showcasing leadership skills and the ability to guide others.
  • Working knowledge of computerized telephone systems and ACD, highlighting technical proficiency.
  • Healthcare/Managed Care and/or insurance industry knowledge, providing context and understanding of the business.
  • Proficiency in MS Office, with an emphasis on Excel, demonstrating administrative and analytical capabilities.
  • Excellent Customer Service and proper telephone etiquette, reflecting a commitment to patient satisfaction.
  • Thorough knowledge of state and federal laws that apply to the department, ensuring compliance and regulatory understanding.
  • Excellent interpersonal, oral, written, communication, and composition skills, facilitating effective collaboration and communication.
  • The ability to work independently, with confidential information, and maintain a positive attitude, supporting departmental goals and objectives.

Preferred Qualifications: Enhancing Your Application

While not mandatory, the following qualifications can enhance your application and demonstrate a higher level of expertise:

  • Knowledge of Medical Terminology, CPT, and ICD-10 coding, showcasing a deeper understanding of healthcare concepts.
  • 1 year of experience in a call center environment, highlighting previous experience in a fast-paced customer service setting.
  • Previous work experience as a team lead, demonstrating proven leadership capabilities.
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