Enrollment - Eligibility Representative

UnitedHealth Group; Overland Park (KS); Hybrid; USD 42,000 - 54,000; Full time

Job summary

UnitedHealth Group is seeking an Enrollment / Eligibility Representative for a national remote position. You will conduct medical benefit reviews, assist members with financial hardship funding, and collaborate with healthcare providers and plans.

The role requires 18+ years of age, 1+ year in pharmacy healthcare, and 1+ year in medical billing/financial assistance. Training is provided and flexibility to meet business needs is expected.

Qualifications

• High School Diploma or GED or equivalent work experience.
• Must be 18 years of age or older.
• 1+ year of pharmacy healthcare experience.
• 1+ year of medical billing/financial assistance experience.

Responsibilities

• Research benefits, eligibility, and financial assistance options for members.
• Handle inbound/outbound calls with patients, doctors, and plans.
• Ensure compliance and complete audits as required.

Skills

Communication skills

Interpersonal skills

Problem solving

Time management

Education

High School Diploma / GED

Job description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. As a hire in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four days per week.

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

As an Enrollment / Eligibility Representative, you'll be engaged in tasks such as conducting medical benefit reviews and finding additional funding for members who have a financial hardship. Along the way, you'll discover the training, support and career opportunities you'd expect from a Fortune 5 leader.

About Our Team

We are a group of Enrollment/Eligibility Reps who are looking for dedicated people to join our team.

Our Mission

To be a high performing team who are self-motivated to show quality work, problem solve, make an impact daily, and ensure our patients receive their medication in a timely manner.

What We Are Looking For In Our New Team Members (which could be you!)

Strong communication, interpersonal collaboration, problem-solving, and time management skills are essential. Teamwork is important, but having the drive to achieve high-quality work is important, too!

This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of hour shift schedules during our normal business hours of 7:00 am - 7:00 pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid training. The hours during training will be 8:30 am to 5:00 pm CST, Monday - Friday. Training will be conducted virtually from your home.

Watch this video to understand the expectations of being a remote worker with UnitedHealthcare.

Primary Responsibilities

• Research benefits, eligibility, site of care, and financial assistance using various systems
• Speak to doctor's offices, insurance plans, and patients through inbound/outbound calls
• Respond to or conduct audits to ensure compliance

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 pharmacy healthcare experience
• 1+ year of medical billing / financial assistance experience1+ year of medical billing / financial assistance experience
we put correct. Continue. We were about to produce the rest. Error in JSON. We'll correct.{