Associate Enrollment Eligibility Representative - National Remote

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.*

UMR , UnitedHealthcare 's third - party administrator (TPA) solution, is the nation's largest TPA. When you work with  UMR , what you do matters. It's that simple . . . and it's that rewarding.

In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within  UMR  due to our record - breaking growth.

Regardless of your role at  UMR , the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career.

Positions in this function are responsible for preparing, processing, and maintaining member or group enrollments. Position will answer incoming phone calls from customers (members, providers, groups), provide expertise and support to customers, and practice superior customer service skills in all lines of communication. Positions may load member or group data into the enrollment database & update the database with changes. Position also responds to member eligibility or group questions and verifies enrollment status. Position will be main point of contact for group customers in regard to enrollment related items. Position will answer incoming phone calls from customers (members, providers, groups), provide expertise and support to customers, and practice superior customer service skills in all lines of communication. Position may work with various types of member correspondence. Position is also responsible for reconciling eligibility discrepancies identified by error reports, analyzing transactional data, and submitting retroactive eligibility changes.

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 7:00 AM - 5:00 PM CST (7:00 pm CST if phone team). It may be necessary, given the business need, to work occasional overtime and outside of these standard business hours.

We offer 4 - 5 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 system.

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

• Must be 18 years of age OR older

• 1+ years of experience with helping customers resolve matters, preferably in an office environment

• Ability to navigate a computer while speaking on the phone

• 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)

• Ability to adhere to any set 8-hour work shift schedule between the hours of 7:00 AM - 5:00 PM CST (7:00 pm CST if phone team) from Monday - Friday including the flexibility to work occasional overtime and outside of these standard business hours to meet business need

Preferred Qualifications:

• 1+ years of experience in enrollment / eligibility for employer offered benefits

• 1+ years of experience in a health insurance industry

Telecommuting Requirements:

• 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

• Must be able to connect to network with a company approved reliable high-speed internet service provider (satellite or cell tower service is not permittable)

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: The hourly range for this is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Application Deadline: _ _ This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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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 .

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