Associate Enrollment Eligibility Representative - National Remote
Company: UnitedHealth Group
Location: Minneapolis
Posted on: November 19, 2023
Job Description:
You'll enjoy the flexibility to telecommute* from anywhere
within the U.S. as you take on some tough challenges. At
-UnitedHealthcare, we're simplifying the health care experience,
creating healthier communities, and removing barriers to quality
care. The work you do here impacts the lives of millions of people
for the better. Come build the health care system of tomorrow,
making it more responsive, affordable, and equitable. Ready to make
a difference? Join us and start doing -your life's best work.SMIt's
that time, isn't it? You're ready for the next step forward and an
opportunity to build on your skills. And it just so happens that
there's never been a better time to become a part of the team at
-UnitedHealth Group. Today, more and more people are turning to our
global health care services organization because we're leading the
way in innovative ideas and quality. Here's where you come in. As
part of our fast-paced operations team, you'll help ensure that we
bring on new members comprehensively and accurately. You bring your
energy; we'll provide the training, resources and opportunities
you'd expect from a Fortune 5 leader.The -Associate Enrollment
Eligibility Representative -is responsible for preparing,
processing and maintaining member or group enrollments. You will
answer incoming phone calls from customers (members, providers,
group), provide expertise and support to customers, and practice
superior customer service skills in all lines of communication. You
may load member or group data into the enrollment database & update
the database with changes. You will also respond to member
eligibility or group questions and verify enrollment status. You
will be the main point of contact for group customers in regard to
enrollment related items. You will also be responsible for
reconciling eligibility discrepancies identified by error reports,
analyzing transactional data -and submitting retroactive
eligibility changes.This position is full - time (40 hours / week),
Monday - Friday. . Employees are required to have flexibility to
work any of our 8-hour shift schedules during our normal business
hours of 7:00 AM - 5:00 PM CST (Central Standard Time/ phone team).
-It may be required to work outside of these standard business
hours and may be necessary, given the business need, to work
occasional overtime. We offer 4 weeks of paid training. The hours
during training will be 7:30 AM - 4:30 PM CST from Monday - Friday.
Training will be conducted virtually from your home.*All
Telecommuters will be required to adhere to UnitedHealth Group's
Telecommuter Policy.Primary Responsibilities:
- Serve as primary contact as it relates to all enrollment tasks
for assigned book of business, which include multiple group
customers; maintain satisfied customers by providing superior
service and practice attention to detail in various
responsibilities
- Answer member, provider, and group customer phone calls;
adhering to department expectations for answering calls and
providing friendly customer service
- Follow established procedures to maintain enrollment data in
applicable systems and databases based on customer request,
electronic file, or internal reports; seek guidance from superiors
(mentor, team - lead, supervisor) for non - standard enrollment
inquiries
- After new employee ramp - up period: employee is expected to
meet or exceed departmental established productivity, quality, and
turn - around standards; follows department guidelines to track own
work completed
- Once fully trained, take ownership of assigned workload
following established procedures; frequently or periodically may
require guidance from superiors to complete responsibilities
- Follows departmental guidelines to manage and prioritize own
workload daily for assigned group customers to meet customer
demands; may require assistance from superiors in managing or
prioritizing this workload
- Read, interpret, and communicate eligibility requirements
following plan guidelines
- Practice advanced follow - up skills with internal and external
parties to ensure group customer expectations are attended to and
that member data is accurately reflected in enrollment system at
all times
- Review moderately complex error reports, analyze member
enrollment data, and correct enrollment system(s) based on
findings
- Resolve customer inquiries as they relate to enrollment and
eligibility through all lines of communication, including e - mails
and phone calls; provide customer service in a friendly and
professional manner to internal / external parties; document call
details in applicable systemYou'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
- 1+ years of experience helping customers resolve matters
- Must adhere to set work schedule, - Monday - Friday between the
hours of 7am - 5pm CST (phone team); It may be required to work
outside of these standard business hours and may be necessary,
given the business need, to work occasional overtime.
- Familiarity with computer and Windows PC applications -
- Experience with Microsoft Word (ability to sort, filter, and
create simple documents), Microsoft Excel (ability to sort, filter,
and create simple spreadsheets), and Microsoft Outlook (ability to
create, respond to, store, and retrieve emails, and use calendar to
schedule meetings) - -
- Must be 18 years of age or olderPreferred 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
- 1+ year(s) experience in enrollment/eligibility for employer
offered benefits -
- 1+ year(s) experience in a health insurance industry -
-Telecommuting Requirements:
- Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy
- Ability to keep all company sensitive documents secure (if
applicable)
- Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet serviceSoft Skills:
- Ability to navigate a computer while speaking on the phone
-California, Colorado, Connecticut, Nevada, New Jersey, New York,
Washington or Rhode Island Residents Only: The hourly range for
California / Colorado / Connecticut / Nevada / New York / New
Jersey / Washington / Rhode Island residents is $16.00 - $27.31 per
hour. Pay is based on several factors including but not limited to
education, work experience, certifications, etc. In addition to
your salary, UnitedHealth Group offers benefits such as, a
comprehensive benefits package, incentive and recognition programs,
equity stock purchase and 401k contribution (all benefits are
subject to eligibility requirements). No matter where or when you
begin a career with UnitedHealth Group, you'll find a far-reaching
choice of benefits and incentives.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. -Diversity creates a healthier atmosphere: UnitedHealth
Group is an Equal Employment Opportunity / Affirmative Action
employer and all qualified applicants will receive consideration
for employment without regard to race, color, religion, sex, age,
national origin, protected veteran status, disability status,
sexual orientation, gender identity or expression, marital status,
genetic information, or any other characteristic protected by
law.UnitedHealth Group -is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment.#RPO
#YELLOW
Keywords: UnitedHealth Group, Minneapolis , Associate Enrollment Eligibility Representative - National Remote, Other , Minneapolis, Minnesota
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