Enrollment Specialist

UnitedHealth Group•Tampa, FL

2d•$18 - $32•Remote

About The Position

The Enrollment Specialist is responsible for enrolling members in Optum Health Management programs, including Ongoing Condition CARE, Maternity CARE, Wellness CARE, and Complex CARE support. The role establishes cases and documents recruitment activity in the Aerial documentation platform. Recruitment work includes handling inbound calls, taking autodialer calls, and making manual outbound calls to eligible members. Specialists explain program benefits and schedule initial assessments with a nurse or health coach through MyHealth Direct. They also handle appointment rescheduling and member questions about case status. This is a full-time, national remote position for applicants located within the United States. The role works Monday through Friday, with flexibility to work an eight-hour shift during normal business hours of 11:30 a.m. to 8:00 p.m. CST. Occasional overtime may be needed. Training lasts four to six weeks and is conducted virtually from home, Monday through Friday from 8:00 a.m. to 4:30 p.m. CST. Remote employees must secure sensitive company documents, maintain a dedicated private work area, and have access to an approved high-speed internet connection or existing high-speed service. Employees must follow UnitedHealth Group’s Telecommuter Policy. The position pays $18–$32 per hour, based on factors including local labor markets, education, work experience, and certifications. Benefits include a comprehensive benefits package, incentive and recognition programs, an equity stock purchase program, and 401(k) contribution, subject to eligibility requirements. Candidates must pass a drug test before employment begins.

Requirements

High school diploma or GED.
Must be at least 18 years old.
At least 2 years of general customer service experience analyzing and solving customer problems.
At least 6 months of experience working in a call center environment.
Ability to create, edit, save, and send documents using Microsoft Word and Microsoft Excel.
Ability to work full-time, 40 hours per week, Monday through Friday, with flexibility to work an eight-hour shift during business hours of 11:30 a.m. to 8:00 p.m. CST.
Ability to work occasional overtime when needed.
Ability to secure sensitive company documents, if applicable, and maintain a dedicated work area separated from other living areas to protect information privacy.
Must live where an approved high-speed internet connection is available or have existing high-speed internet service.
Must adhere to UnitedHealth Group’s Telecommuter Policy.
Must pass a drug test before beginning employment.

Nice To Haves

Experience working within the healthcare industry.
Experience working in a hospital, physician’s office, or medical clinical setting.
Professional experience in a clerical or administrative support role.
Working knowledge of medical terminology for communicating with members and providers.
Consistent employment with only one employer during the last 24 months.

Responsibilities

Make outbound calls to eligible members about Health Management coaching programs.
Receive inbound calls to enroll members and provide customer service.
Determine member eligibility by checking benefit codes and identifying appropriate next steps.
Set up member cases and document recruitment activities in Aerial.
Explain program benefits and schedule initial assessments with a nurse or health coach in MyHealth Direct.
Handle member calls and questions about case status, appointment rescheduling, and other matters.
Follow protocols and assign requests appropriately.
Use computer-based job aids to find procedures, rules, and regulations.
Access claims information and review and interpret call history documentation, including case notes.
Navigate computer screens and platforms to research medical, clinical, or benefits information.
Contact internal resources to clarify information and identify the appropriate resource to address member questions.
Learn system and process changes and incorporate updates into daily work.
Prioritize and organize work, solve routine problems independently, and work with a supervisor on more complex problems.