Enrollment - Eligibility Representative

UnitedHealth Group; Tampa (FL); Remote; USD 51,577,000 - 91,693,000; Full time

Benefits offered by this job

4 weeks paid training

Virtual remote training

Job summary

UnitedHealth Group, a Fortune 5 leader in health services, offers a National Remote Enrollment/Eligibility Representative position designed for candidates with pharmacy healthcare experience. You’ll review benefits, assist with financial aid, and communicate with providers and patients from home.

Responsibilities include benefit research, eligibility checks, and audits, with training provided virtually. The role emphasizes strong communication, problem-solving, and reliable service across

Qualifications

• High School Diploma / 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.
• 1+ year of telephonic customer service OR in-person customer service experience.
• Basic computer experience using a keyboard and mouse / movement between screens.
• Ability to work full-time, Monday - Friday during 7:00 am - 7:00 pm CST, with potential overtime.

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.

Skills

Communication

Customer service

Time management

Adaptability

Education

High School Diploma / GED OR equivalent work experience

Job description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) 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 various 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 experience
• 1+ years of telephonic customer service OR in - person customer service experience
• Basic computer experience using a keyboard and mouse / movement between screens
• Ability to work 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

Telecommuting Requirements:

• 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 (UHG requires a wired internet connection: cable, DSL or fiber internet service with Minimum speed standard of 25 Mb download/10-15 Mb upload. Wireless services such as satellite, hot spot, line of sight antenna cannot be used for telecommuting.)

Soft Skills:

• Ability to identify with a consumer in order to understand and align with their needs and realities
• Ability to be adaptable and a versatile team player
• Ability to take responsibility and internally driven to accomplish goals and recognize what needs to be done in order to achieve a goal(s)
• Ability to turn situations around and go above and beyond to meet the needs of the customer

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.