Senior Oracle Engineer

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Senior Customer Service Representative is responsible for representing the organization and functioning as a key communicator for the organization providers. Educates and informs customers of organizations programs and services. Promotes company’s commitment to superior customer service. Proactively and reactively seeks appropriate solutions to potential and existing service issues. Identifies root cause issues and works diligently and cooperatively to minimize or eliminate issues.

This position is full-time, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:30am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.

We offer on-the-job training. The hours of training will be aligned with your schedule or will be discussed on your first day of employment.

If you are located in the state of California, you will have the flexibility to work remotely* as you take on some tough challenges.

 

Primary Responsibilities:

 

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
  • Must be 18 years of age OR older
  • 1+ years of experience in Medicare and HMO environment
  • 1+ years of experience in customer service in a medical environment
  • Ability to identify confidentiality and its requirements (HIPAA)
  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Ability to type 40-50 words per minute
  • Ability to work full-time, Monday – Friday, during our normal business hours of 8:30am – 5:00pm PST, including the flexibility to work occasional overtime, based on the business need

 

Preferred Qualifications:

  • 2+ years of office experience working within scheduling OR training in the medical field setting
  • 1+ years of claims processing OR claims customer service experience
  • 1+ years of authorization / referral processing experience
  • Knowledge of standard billing practices
  • Ability to interpret provider and health plan contracts

 

Telecommuting Requirements:

  • Reside within the state of California
  • 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:

  • Ability to understand multiple services and multiple benefit plans for Medicaid
  • Ability to retain composure in stressful situations
  • Ability to de-escalate potential volatile situations
  • Ability to multi-task
  • Organizational skills
  • Communication and presentation skills
  • Good grammar, voice and diction

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Back to blog