Associate Enrollment Or Eligibility Representative

Optum; Karnataka; In loco; INR 300.000 - 420.000; Tempo pieno

Descrizione del lavoro

Optum, a global health services company, seeks an Associate Enrollment & Eligibility Representative to process enrollments and maintain member records, ensuring accurate eligibility and regulatory compliance. The role supports access to care and requires strong communication and multitasking abilities.

Responsibilities include handling enrollment transactions, inquiries, and data updates, with flexibility for office work and night shifts as needed.

Competenze

• Graduate in any discipline.
• CAT Score: 3.0.
• Typing Speed: 30 WPM with 99% accuracy.
• Basic computer skills.
• Proven excellent verbal and written communication skills.
• Proven ability to learn and navigate multiple applications and systems.
• Demonstrated solid attention to detail and accuracy.
• Demonstrated ability to work effectively in a team environment.
• Flexible and willing to work from the office.
• Flexible and willing to work night shifts.

Mansioni

• Process new member enrollments and eligibility transactions.
• Update and maintain member records in internal systems.
• Verify member eligibility and enrollment status.
• Process enrollment changes, corrections, and member data updates.
• Respond to standard inquiries related to enrollment and eligibility.
• Support inventory and workflow management activities.
• Maintain required quality, accuracy, and turnaround-time standards.
• Ensure compliance with CMS, regulatory, and business requirements.
• Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements

Conoscenze

Communication skills

Teamwork

Attention to detail

Typing speed

Formazione

Graduate degree in any discipline

Strumenti

MS Office

Descrizione del lavoro

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Associate Enrollment & Eligibility Representative is responsible for accurate and timely processing and maintaining member enrollment, billing and eligibility information. The role supports member access to healthcare services by ensuring enrollment transactions are completed in accordance with regulatory and business requirements.

Primary Responsibilities:

• Process new member enrollments and eligibility transactions
• Update and maintain member records in internal systems
• Verify member eligibility and enrollment status
• Process enrollment changes, corrections, and member data updates
• Respond to standard inquiries related to enrollment and eligibility
• Support inventory and workflow management activities
• Maintain required quality, accuracy, and turnaround-time standards
• Ensure compliance with CMS, regulatory, and business requirements
• Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements

Required Qualifications:

• Graduate in any discipline
• CAT Score: 3.0
• Typing Speed: 30 WPM with 99% accuracy
• Basic computer skills
• Proven excellent verbal and written communication skills
• Proven ability to learn and navigate multiple applications and systems
• Demonstrated solid attention to detail and accuracy
• Demonstrated ability to work effectively in a team environment
• Flexible and willing to work from the office
• Flexible and willing to work night shifts

Preferred Qualifications:

• MS Office knowledge
• Basic understanding of AI tools
• Demonstrated analytical and problem-solving skills
• Demonstrated time management and organizational skills
• Proven excellent written and verbal communication
• Proven ability to work effectively within a team

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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