Join the UnitedHealth Group Team: Transforming Healthcare through Innovation and Excellence
UnitedHealth Group, a leading health care company, is seeking an experienced Enrollment Eligibility Representative to join our team remotely. As part of the Optum family of businesses, we are dedicated to transforming the health care system through innovative technology and analytics. Our mission is to help people live healthier lives and make the health system work better for everyone. We offer a dynamic and supportive work environment, comprehensive benefits, and opportunities for growth and development.
Role Overview
As an Enrollment Eligibility Representative, you will play a critical role in preparing, processing, and consulting with customers regarding the completion of Payer-defined Electronic Data Interchange (EDI) Enrollment forms. You will field and respond to customer inquiries across various service channels, including phone, chat, email, and online support portal. Your goal will be to research and resolve reported issues within organizational metric targets, while building and maintaining positive customer and payer relationships.
Key Responsibilities:
- Preparing, processing, and maintaining enrollment forms in accordance with Payer rules and internal processing metrics/SLAs.
- Analyzing problems with failed/rejected enrollment forms and resolving issues in a timely and efficient manner.
- Corresponding with customers and Payers to verify enrollment form status and provide updates.
- Assisting customers with Enrollment tools/access/self-service capabilities and providing training as needed.
- Initiating changes to increase or change workflows to drive quality and productivity.
- Managing assigned Implementation projects and associated customer Go-Live deadlines in accordance with team procedures and policies.
Requirements and Qualifications:
To be successful in this role, you must possess the following qualifications:
- Education: High School Diploma or GED required.
- Experience: 1 year of remote call center experience and 1 year of healthcare customer service experience.
- Skills:
- Experience interacting with clients or customers in a professional setting.
- Proficient with Microsoft Windows Operating Systems.
- Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort/filter, and work within tables), and Microsoft Outlook (email and calendar management).
- Availability: Ability to work Monday - Friday, 08:00 AM - 05:00 PM CST.
- Age: Must be 18 years of age or older.
Telecommuting Requirements:
As a remote employee, you will be required to:
- Have a dedicated work area established that is separated from other living areas and provides information privacy.
- Live in a location that can receive a UnitedHealth Group-approved high-speed internet connection or leverage an existing high-speed internet service.
- Keep all company-sensitive documents secure (if applicable).
Compensation and Benefits:
We offer a comprehensive benefits package, including:
- Competitive salary.
- Incentive and recognition programs.
- Equity stock purchase.
- 401k contribution (all benefits are subject to eligibility requirements).
For California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, or Rhode Island residents, the hourly range is $16.54 - $32.55 per hour. Pay is based on several factors, including but not limited to education, work experience, certifications, etc.
Career Growth and Development:
At UnitedHealth Group, we are committed to helping our employees grow and develop their careers. We offer:
- Clear direction on what it takes to succeed in your role.
- Development opportunities for other roles you may be interested in.
- A dynamic and supportive work environment.
Company Culture and Values:
We believe everyone deserves the opportunity to live their healthiest life. We are committed to:
- Mitigating our impact on the environment.
- Enabling and delivering equitable care that addresses health disparities and improves health outcomes.
- Fostering a culture of diversity, equity, and inclusion.
Equal Employment Opportunity:
UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer. We welcome applicants from diverse backgrounds and perspectives.
Take the Next Step:
Are you ready to join our team and take on this exciting challenge? Apply now and let's discuss how you can become a vital part of our success story.
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