Eligibility Enrollment Specialist
2 weeks ago
Enjoy the flexibility of remote work from anywhere in the U.S. while tackling meaningful challenges.
UnitedHealthcare, through its third-party administrator (TPA) solution, UMR, stands as the largest TPA in the nation. Your contributions here are significant and rewarding.
Our mission is to deliver consumer-focused health benefit plans to millions, aiming for enhanced quality of care, reduced costs, and improved access to healthcare. By joining our team, you will be empowered to reach new heights of excellence and make a substantial impact through innovative contributions in a complex and vital system. The potential for career growth and advancement within UMR is immense, driven by our remarkable growth.
In every role at UMR, the support surrounding you will enable you to perform with energy, quality, and confidence. Take the first step toward a dynamic and diverse career.
Positions in this area are responsible for the preparation, processing, and maintenance of member or group enrollments. You will handle incoming calls from customers (members, providers, groups), offering expertise and support while exemplifying superior customer service skills across all communication channels. Responsibilities may include entering member or group data into the enrollment database and updating it with any changes. You will also address member eligibility inquiries and verify enrollment statuses, serving as the primary contact for group customers regarding enrollment-related matters.
This is a full-time position, operating Monday through Friday. Employees must be flexible to work any of our 8-hour shift schedules during standard business hours. Occasionally, overtime may be required based on business needs.
We provide 4 to 5 weeks of comprehensive training, conducted virtually from your home. Training hours will be from 7:30 AM to 4:30 PM.
Key Responsibilities:
- Act as the primary contact for all enrollment tasks for your assigned book of business, ensuring customer satisfaction through superior service and meticulous attention to detail.
- Respond to calls from members, providers, and group customers, meeting department expectations for call handling and delivering friendly service.
- Follow established protocols to maintain enrollment data in relevant systems based on customer requests and internal reports; seek guidance for non-standard inquiries.
- Post-training, meet or exceed departmental productivity, quality, and turnaround standards while tracking your work.
- Take ownership of your workload, adhering to established procedures, while occasionally seeking guidance from supervisors.
- Manage and prioritize your daily workload to meet customer demands, with possible assistance from superiors.
- Interpret and communicate eligibility requirements in accordance with plan guidelines.
- Employ advanced follow-up skills with internal and external parties to ensure customer expectations are met and member data is accurately maintained.
- Review and analyze error reports, correcting enrollment systems based on findings.
- Address customer inquiries related to enrollment and eligibility through various communication channels, documenting details in the appropriate systems.
Your performance will be recognized and rewarded in an environment that challenges you and provides clear guidance for success in your role, as well as opportunities for development in other areas of interest.
Required Qualifications:
- High School Diploma or GED
- Must be at least 18 years old
- 1+ years of experience in customer service, preferably in an office setting
- Ability to navigate a computer while on the phone
- Familiarity with computer and Windows PC applications
- Experience with Microsoft Word, Excel, and Outlook
- Ability to adhere to an 8-hour work shift schedule during standard business hours, with flexibility for occasional overtime
Preferred Qualifications:
- 1+ years of experience in enrollment or eligibility for employer-sponsored benefits
- 1+ years of experience in the health insurance sector
Telecommuting Requirements:
- Ability to secure all company-sensitive documents
- Dedicated workspace that ensures information privacy
- Access to a UnitedHealth Group-approved high-speed internet connection
- Ability to connect to the network with a reliable high-speed internet service provider
Compensation: The hourly wage for this position is competitive and based on various factors including local labor markets, education, and experience. UnitedHealth Group offers a comprehensive benefits package, including incentive programs and retirement contributions, subject to eligibility requirements.
At UnitedHealth Group, our mission is to help individuals lead healthier lives and improve the health system for everyone. We are committed to addressing health disparities and ensuring equitable care for all.
Diversity fosters a healthier workplace: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will be considered 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 maintains a drug-free workplace. Candidates must pass a drug test prior to employment.
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