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Work From Home Optum Customer Service Representative Jobs

ibex

Customer Service - Work at Home

Hampton, VA · Remote

$14 - $19/hr

Customer Service Representatives will be working directly with the customer to answer general ... Qualifications Must Haves for Work at Home: * Private, distraction free workspace (not a shared ...

Sagility LLC

$15/hr

Work from Home: Customer Service Representative (Healthcare) Elevate Your Career with Sagility Sagility, a global leader in business process management, is dedicated to enhancing the member and ...

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Work From Home Optum Customer Service Representative information

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How much do work from home optum customer service representative jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for work from home optum customer service representative in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What is a typical work environment and schedule like for a remote Optum Customer Service Representative?

As a Work From Home Optum Customer Service Representative, you will operate from your own home office and interact with customers primarily via phone, chat, or email. The schedule often includes shifts within standard business hours, with the potential for evening or weekend work depending on business needs. You will be part of a virtual team and have regular check-ins with supervisors and teammates through video or messaging platforms for support and collaboration. This setup enables flexibility but also requires you to be self-motivated and comfortable managing your time and workspace efficiently.

What are the key skills and qualifications needed to thrive in the Work From Home Optum Customer Service Representative position, and why are they important?

To thrive as a Work From Home Optum Customer Service Representative, you need strong communication skills, problem-solving abilities, and typically a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, basic telephony systems, and secure remote access tools is important. Outstanding active listening, patience, and the ability to remain calm under pressure are key soft skills for this position. These qualities ensure customer issues are resolved efficiently and professionally, reflecting positively on the company's reputation and service standards.

What is a Work From Home Optum Customer Service Representative job?

A Work From Home Optum Customer Service Representative assists customers with inquiries related to healthcare plans, billing, claims, and other services. They handle calls, emails, or chats while providing accurate information and resolving issues efficiently. This role requires strong communication skills, problem-solving abilities, and a customer-first mindset. Work is performed remotely, with necessary equipment and training provided.

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Work From Home Optum Customer Service Representative jobs near you
Customer Service - Work at Home

Customer Service - Work at Home

ibex

Hampton, VA • Remote

$14 - $19/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 hours ago

Job description

Overview

Start your career journey with energy, teamwork, and endless opportunities! Whether you're just starting out or ready for something new, we've got your back with paid training that sets you up for success. Our vibrant team thrives on support, good vibes, and leaders who actually listen. You'll make real connections, build new skills, and grow your career in a place that celebrates you.

About the role:

Customer Service Representatives will be working directly with the customer to answer general inquiries, address concerns, and assist with requests about products and services across multiple lines of business. The CSR must project a professional company image and provide superior customer service while working with customers through any of the customer contact channels.

Responsibilities

Your day to day will involve:

  • Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments).
  • Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information.
  • Thoroughly and completely documenting all customer interactions.
  • Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
  • Educating on the usage and benefits of self-service tools.
  • Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist.
  • Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role.
  • Responding to customer inquiries in a courteous and professional manner.
  • Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions.
  • Responding to and resolving internal and external complex customer inquiries.
  • Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken.
  • Taking ownership of the resolution and setting expectation for follow up.
  • Ensuring resubmissions, stop payments, and voids are appropriately handled.
  • Meeting or exceeding individual, department, and client specific goals.
  • Understanding and adhering to all client administrative and contractual policies and procedures.
  • Suggesting ways to improve the service delivery processes contributing to the success of the organization.
  • Other duties as assigned.
Qualifications

Must Haves for Work at Home:

  • Private, distraction free workspace (not a shared/common area of the home)
  • Hard wired ethernet internet connection with minimum speeds of 50 Mbps Download / 10 Mbps Upload. (5G, hotspots, and satellite internet not supported)
  • Active wireless phone service
  • Must remain on camera during working hours

Eligible States

This role is currently limited to candidates residing in

Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Kentucky, Louisiana, Michigan, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming.

Preferred:

  • Experience in healthcare or related industry experience
  • Medical/Dental terminology knowledge experience
  • Medicare/Medicaid knowledge
  • Claims/Billing and coding experience

Benefits:

  • Medical, Dental, and Vision insurance
  • 401(k) Retirement Savings Plan
  • Paid Time Off
  • Paid T-Mobile cell service
  • Employee referral program
  • Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)
Employment Type: FULL_TIME

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