Enrollment and Eligibility Representative - Duluth, MN

If you're a problem solver, then joining our Enrollment and Eligibility team may be a great fit.  Training classes start soon, so apply now. 

Your problem solving skills can be vitally important in this role as you help us reconcile eligibility discrepancies, analyze transactional data and make retroactive eligibility changes. But while we challenge you to raise your game, we’re here to support and guide you every step of the way. You’ll find a work environment that places tremendous emphasis on mentoring, training and personal development. So there you have it. A chance to have significant influence and impact plus a role that takes you to new levels of performance. This is a job that can quickly become your life's best work. (SM)

As an Enrollment and Eligibility Representative, you will be responsible for receiving, reviewing, processing, and maintaining new member(s)/group enrollment information.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am to 4:30pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 4316 Rice Lake Road, Duluth MN 55811.
 
Primary Responsibilities:


Receive paper and electronic enrollment/eligibility applications for new and/or existing customers; prioritize as appropriate
Respond to member eligibility or group questions and verify enrollment status
Review enrollment/eligibility submissions to identify any missing data and to validate information provided; reconcile any discrepancies
Submit files to relevant internal teams; provide any updates/changes/additions to enrollment/eligibility applications as needed
Responsible for inventory control of member and group transactions
Inform customers of enrollment-related policies and procedures; review eligibility guidelines and enrollment criteria to ensure their understanding
Track and review files to identify performance gaps, eligibility/loading errors, etc. and review those items with appropriate internal teams
Independently solves problems, acknowledging when assistance from other departments or supervisor is required

1-2 years of customer service experience or 1-2 year of experience in an office setting environment, call center setting or phone support role
An education level of at least a high school diploma or GED; or 10 years of equivalent working experience
Familiarity with Windows PC applications, including the ability to learn new and complex computer system applications
Ability to navigate a computer while on the phone; ability to multi-task including ability to understand multiple products and levels within each product
Consistent attendance with ability to meet work schedule including the required training period
Successful completion of the UnitedHealth Group new hire training and demonstrated proficiency require

 
There are several steps in our hiring process - it’s a thorough process because we want to ensure the best job and culture fit for you and for us. In today’s ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you’ll receive an email with next steps. This may include a link for an on-line pre-screening test that we ask you to complete as part of our selection process.  You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail.http://uhg.hr/OurApplicationProcess
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM


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.




Keywords: enrollment, claims, medical claims, healthcare claims,  insurance claims, insurance contracts, office, UnitedHealth Group, UnitedHealthcare,  training class, customer service representative, customer service, CSR, Data Entry, phone support