1. Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
2. Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller
3. Deliver information and answer questions in a positive manner to facilitate solid relationships with providers and their staff
4. Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
5. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment).
6. The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
7. This role is equally challenging and rewarding. Youll interact with providers with the intent to develop a relationship with them. Within a high volume setting, youll need to develop knowledge of our various products and multiple levels of benefits within each product in order to best assist our providers/customers.

Role: Customer Service

Industry Type: Retail

Department: Customer Success, Service & Operations

Employment Type: Full Time, Permanent

Role Category: Customer Success, Service & Operations - Other

Education

UG: B.Tech/B.E. in Production/Industrial, Any Graduate

PG: MCA in Computers

About the company

India is home to the largest technology team for Optum outside of the US. We pursue technology as a unifying force, bringing together deep industry expertise with big data, advanced analytics, reengineering and automation, and emerging technology. By adopting technologies such as artificial intelligence, deep learning and natural language processing, we deliver quality, innovation, speed and scale through our comprehensive IT delivery, product and data engineering, and advanced research and predictive analytics capabilities.

The operations teams in India work on transformative solutions across product/benefit configuration, network management, end-to-end claims processing — including appeals and grievances, billing & enrollment, medical coding, revenue cycle management, and provider data operations. Our teams are enabled by transformational capabilities in business excellence, operational excellence, learning and development, transitions, business quality and workforce management functions.