Associate Enrollment and Eligibility Representative
About The Position
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 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. This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime. We offer 2 weeks of paid training. The hours during training will be 7:00 am to 5:00 pm PST, Monday - Friday. Training will be conducted virtually from your home.
Requirements
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- 1+ years of customer service experience
- Stable work experience
- Computer skills, including working knowledge of Microsoft Windows and mouse and keyboarding skills
- Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00 am - 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime.
Nice To Haves
- Healthcare experience
Responsibilities
- Researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) records.
- Sending correspondence to members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections.
- Reconciling reports
- Performing basic clerical functions with proficient PC skills
- Analytical and Researching techniques to trend or quantify projects
- Initiate and assist with developments/changes to increase or change quality and productivity.
- Preparing, processing, and maintaining new member or group enrollments
- Responding to member eligibility or group questions & verify enrollment status
- Working with various types of member correspondence
- Reconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes.
- Inventory control of member and group transactions
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
