Enrollment Eligibility Specialist - San Juan, PR

UnitedHealth Group•San Juan, PR

2d•Onsite

About The Position

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. You dream of a great career with a great company - where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 5 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.

Requirements

1 + year of experience in Healthcare industry or Professional Office experience
Demonstrated verbal and written communication skill
Solid computer skills, including working knowledge of MS Windows and solid mouse and keyboarding skills
Experience with Microsoft Office (Word, Excel & Outlook) experience
Demonstrated ability to write professional emails
Available to work 40 hours per week within the operating hours of the site with the ability to work occasional overtime including weekends, nights and holidays (New Year’s day specifically) as business needs require

Nice To Haves

IRIS experience
Excel experience
Navigator experience
Prior healthcare experience

Responsibilities

Takes ownership of issues. Thinks through issues and finds solutions. Looks at whole picture, not only individual piece of an issue. Ability to make sound decisions
Process and troubleshoot duplicate member records
Proactively working assigned tasks – taking ownership; taking action, letting team and leadership know if a roadblock is encountered
Understand how to run duplicate patient report to identify issues or potential issues
Verify and research information in response to task inquiry. Follow through with error issues to resolution with frequent communication for update and resolution status
Proactively responding to team inquiries as assigned
Runs reports and uses data to update IRIS system when needed
Makes manual changes in IRIS to accommodate client needs
Daily review of assigned tasks to ensure information updated accurately and timely
Ability to be proactive
Ability to solve problems, follow defined processes, make decisions, and apply them to problem results
Demonstrated ability to be a team member, work well within a team setting
Ability to work a full day on New Year’s day (no exceptions)