Associate Enrollment Eligibility Representative - National Remote
About the position
As an Associate Enrollment Eligibility Representative at UnitedHealth Group, you will play a crucial role in managing member and group enrollments for our third-party administrator, UMR. This position allows you to telecommute from anywhere within the U.S., providing you with the flexibility to balance your work and personal life while tackling significant challenges in the healthcare sector. UMR is the nation's largest TPA, and your contributions will directly impact the quality of care and access to healthcare for millions of people. You will be empowered to achieve excellence and make a meaningful difference in a vital and complex system, with numerous opportunities for career development and advancement due to our record-breaking growth. In this role, you will be responsible for preparing, processing, and maintaining member or group enrollments. You will serve as the primary point of contact for group customers regarding enrollment-related inquiries, answering incoming phone calls from members, providers, and groups. Your expertise and superior customer service skills will be essential in providing support and resolving inquiries effectively. You will also be tasked with loading member or group data into the enrollment database, updating it with changes, and responding to eligibility questions while verifying enrollment status. Your responsibilities will include reconciling eligibility discrepancies identified by error reports, analyzing transactional data, and submitting retroactive eligibility changes. This full-time position requires flexibility to work any of our 8-hour shift schedules during normal business hours, with occasional overtime as needed. You will undergo 4-5 weeks of paid training conducted virtually from your home, ensuring you are well-prepared to meet the demands of the role. The environment at UMR is supportive, allowing you to thrive and succeed in your position while contributing to the overall mission of helping people live healthier lives.
Responsibilities
Serve as primary contact for all enrollment tasks for assigned book of business, maintaining satisfied customers through superior service.
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Answer member, provider, and group customer phone calls, adhering to department expectations for call handling and customer service.
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Follow established procedures to maintain enrollment data in applicable systems and databases based on customer requests and internal reports.
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Meet or exceed departmental productivity, quality, and turnaround standards after the new employee ramp-up period.
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Take ownership of assigned workload following established procedures, seeking guidance from superiors when necessary.
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Manage and prioritize daily workload for assigned group customers to meet customer demands, with possible assistance from superiors.
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Read, interpret, and communicate eligibility requirements following plan guidelines.
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Practice advanced follow-up skills with internal and external parties to ensure customer expectations are met and member data is accurately reflected in the enrollment system.
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Review moderately complex error reports, analyze member enrollment data, and correct enrollment systems based on findings.
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Resolve customer inquiries related to enrollment and eligibility through all lines of communication, documenting call details in the applicable system.
Requirements
High School Diploma / GED.
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Must be 18 years of age or older.
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1+ years of experience helping customers resolve matters, preferably in an office environment.
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Ability to navigate a computer while speaking on the phone.
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Familiarity with computer and Windows PC applications.
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Experience with Microsoft Word, Excel, and Outlook.
Nice-to-haves
1+ years of experience in enrollment/eligibility for employer-offered benefits.
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1+ years of experience in the health insurance industry.
Benefits
Comprehensive benefits package
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Incentive and recognition programs
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Equity stock purchase
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401k contribution
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Paid training for 4-5 weeks
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