Enrollment and Eligibility Representative

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

• Should be able to meet standard performance targets like Quality, TAT, NPS, etc.
• Ability to clearly communicate and resolve customer/broker queries either through email/call
• Should have good interpretation of SOP guidelines
• Should work independently with minimum supervision and adhere to all process guidelines
• Ability to communicate process failures and propose remediation, as well as developing remediation plans in all variety of mediums (verbal, writing, PowerPoint)
• Is eager to take on more responsibilities and should be able to execute the adhoc tasks
• Maintains expert level knowledge of Eligibility process and provide inputs 8to Leadership on any process gaps that exist
• Ensure compliance with internal policies and procedures, external regulations and information security standards
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• 1 year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
• Graduation done with no Active Backlogs
• Stable work experience
• Solid computer skills, including working knowledge of MS Windows and Solid mouse and keyboarding skills
• Proven excellent communication skills in both verbal & written
• Ability to work in permanent night shift and extended shift as per business need
• Proven attention to detail - should be quality focused
• Proven good Team player and ability to work with minimal supervision
• Should have a minimum understanding of Healthcare terminologies/concepts
• Solid computer skills, including working knowledge of MS applications and keyboarding skills
• Moderate proficiency with Microsoft Word and Excel
• Should be flexible and adapt basis business need

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.