Enrollment Specialist - San Juan, PR

UnitedHealth Group • San Juan, PR

9h

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Enrollment Associate is responsible for installing & implementing employers' contracts and enrolling member associated with those contracts into our system. The associate will be responsible for assisting members with issues related to enrollment and premium payments. This position acts as a liaison between member services and the enrollment plus finance departments. This position is responsible for reconciling enrollment and billing related discrepancies related to members.

Requirements

• 1+ years of experience in a production environment (metrics)
• Proficient in MS Office with strong computer skills (e.g. multiple systems experience, keyboarding skills, Microsoft word, Power Point)
• Proficient in verbal and written English skills
• Ability to work 40 hours / week during standard business operating hours Monday - Friday from 8am - 7pm AST (It may be necessary, given the business need, to work occasional overtime on weekends and holidays)
• ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION

Nice To Haves

• Experience in medical billing /claims or enrollment
• Healthcare experience

Responsibilities

• Complete the full cycle of Identification, Validation, Enrollment and Billing procedures related to members
• Work on the customer’s applications, eligibility and fallouts arising out of discrepancies in the systems
• Ensure the accuracy and completeness of applications taken
• Billing activity includes monthly generation of member premium bills and payments received to fulfill those bills
• Correct all Billing discrepancies in a way that member no longer owes money
• Changes in Payment types as requested by Member
• Complete Account reconciliation of members post terminating the member from Services
• Works flexibly and cooperatively under supervision with all team members
• Completes all responsibilities according to established protocols, policies and standard practices plus adhere to regulatory compliance programs such as HIPPA

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees