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.
The Associate Enrollment Eligibility Representative is responsible for preparing, processing and maintaining member or group enrollments. You will answer incoming phone calls from customers (members, providers, group), provide expertise and support to customers, and practice superior customer service skills in all lines of communication. You may load member or group data into the enrollment database & update the database with changes. You will also respond to member eligibility or group questions and verify enrollment status. You will be the main point of contact for group customers in regard to enrollment related items. You will also be 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 work any 8-hour shift and adhere to a set schedule between the hours of 7:00 AM - 5:00 PM CST (phone team) including the flexibility to work outside of these standard business hours or occasional overtime to meet business need.
We offer 4 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.
If you are located in Central or Mountain Time zone, you will have the flexibility to work remotely* as you take on some tough challenges.
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 OR equivalent work experience
- Must be 18 years of age OR older
- 1+ years of experience with helping customers resolve matters
- Familiarity with computer and Windows personal computer applications
- Experience using Microsoft Word (ability to sort, filter, and create simple documents)
- Experience using Microsoft Excel (ability to sort, filter, and create simple spreadsheets)
- Experience using 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
Preferred Qualifications:
- 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
Telecommuting Requirements:
- Reside within the 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
Soft Skills:
- 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
Colorado 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.
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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