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Associate Enrollment Eligibility Representative - Remote in CST or MST

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  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Dallas
    Remote

Requirements

  • High School Diploma / GED OR equivalent work experience
  • Must be 18 years of age OR older
  • 1+ years of experience with helping customers resolve matters
  • Familiarity with using computer and Windows personal computer applications
  • Experience with using 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 work any 8-hour shift and adhere to a set schedule between the hours of 7:00 AM - 5:00 PM CST (phone team) from Monday - Friday including the flexibility to work outside of these standard business hours or occasional overtime to meet business need
  • 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+ years of experience in enrollment / eligibility for employer offered benefits
  • 1+ years of experience in a health insurance industry
  • Reside within Central or Mountain Time zone
  • 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
  • Ability to navigate a computer while speaking on the phone
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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

FAQs

Do we support remote work?

Yes, this position is fully remote for candidates located in the Central or Mountain Time zones.

What does the Associate Enrollment Eligibility Representative do?

The Associate Enrollment Eligibility Representative is responsible for preparing, processing, and maintaining member or group enrollments, answering customer inquiries, and providing superior customer service.

What are the working hours for this position?

The position is full-time, Monday to Friday, with shifts that adhere to a set schedule between the hours of 7:00 AM - 5:00 PM CST, along with the flexibility to work outside these hours when needed.

Is training provided for this role?

Yes, employees will receive four weeks of paid training conducted virtually, with training hours from 7:30 AM - 4:30 PM CST, Monday to Friday.

What are the required qualifications for this position?

Candidates must have a High School Diploma or GED, be at least 18 years old, have 1+ years of experience helping customers, and be familiar with Microsoft Office applications.

Are there preferred qualifications for this role?

Yes, preferred qualifications include 1+ years of experience in an office, administrative, or customer service environment, experience specifically in enrollment/eligibility for employer-offered benefits, and experience in the health insurance industry.

What are the telecommuting requirements?

Candidates must reside within the Central or Mountain Time zones, have a dedicated work area that provides information privacy, and must be able to secure company-sensitive documents.

What is the salary range for this position?

For Colorado residents, the hourly range is $16.00 to $28.27 per hour, based on factors such as local labor markets, education, and work experience.

What benefits does UnitedHealthcare offer?

UnitedHealthcare offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchases, and 401k contributions, all subject to eligibility requirements.

Is there an application deadline for this job?

Yes, the job will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected, and may be taken down early due to the volume of applicants.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

When it comes to your health, everything matters. That’s why UnitedHealthcare is helping people live healthier lives and making the health system work better for everyone. Our health plans are there for you in moments big and small, delivering a simple experience, affordable coverage, and supportive care. Wherever your health takes you, we're there for what matters. At UnitedHealthcare, part of the UnitedHealth Group family of businesses, we are working to create a system that is connected, aligned and more affordable for all involved; one that delivers high quality care, responsive to the needs of each person and the communities in which they live. With connections to more than 1.3 million physicians and care professionals and 6,500 hospitals and care facilities across the globe, we can collaborate in new ways to improve patient care while providing customizable and comprehensive solutions in any marketplace, anywhere.

Culture & Values

  • Integrity

    Honor commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of the people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future. Learn from the past

  • Performance

    Demonstrate excellence in everything we do.

Benefits

  • United Well-being

    United Well-being supports employees in their journey to better health. Resources include: Exercise and mindfulness apps. Tips and recipes for healthy cooking. Wellness coaching and financial tools. A private employee community group.

  • Health and Insurance

    Our medical plans for employees deliver better value and better outcomes. We offer: Copay plans and HSA-eligible plans. Vision and dental plans. Flexible spending accounts. Life insurance, and more.

  • Savings and Retirement

    In addition to competitive pay, we provide financial benefits to help employees manage their money. Benefits include: 401(k) Savings Plan. Employee Stock Purchase Plan. UnitedHealth Group credit union, and more.

  • Paid Time Off (PTO)

  • Paid Company Holidays

  • Parental Leave

  • Employee Assistance Program

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