
Enrollment and Eligibility Representative
Welcome to UnitedHealth Group - a leading health care company dedicated to improving the lives of millions of individuals and families across the nation. As an Enrollment and Eligibility Representative, you will play a crucial role in our mission by ensuring the smooth and efficient enrollment and eligibility process for our members. We are seeking a dedicated and detail-oriented individual to join our team and make a positive impact on our members' lives. If you have a passion for helping others, excellent communication skills, and the ability to navigate complex systems, we encourage you to apply and become a part of our dynamic team.
- Process Enrollment and Eligibility: The primary responsibility of this role is to process enrollment and eligibility for new and existing members. This includes accurately entering member information into our systems, verifying eligibility criteria, and ensuring all necessary documentation is collected.
- Provide Customer Service: As the first point of contact for our members, it is your responsibility to provide exceptional customer service. This includes answering inquiries, addressing concerns, and resolving any issues related to enrollment and eligibility.
- Maintain Confidentiality: Our members trust us with their personal information, and it is essential that you maintain the highest level of confidentiality at all times. You will be responsible for handling sensitive information with discretion and following all privacy regulations.
- Collaborate with Other Departments: You will work closely with other departments, such as Customer Service and Claims, to ensure a seamless enrollment and eligibility process for our members. This may involve coordinating with team members, providing updates, and resolving any issues that may arise.
- Stay Updated on Policies and Procedures: Our enrollment and eligibility processes may change from time to time, and it will be your responsibility to stay updated on all policies and procedures. This may include attending training sessions, reading policy updates, and asking questions to clarify any doubts.
- Document and Report: Accurate documentation and reporting are crucial in this role. You will be responsible for maintaining detailed records of all enrollment and eligibility activities, including any issues or concerns that may arise.
- Meet Productivity and Quality Standards: As a member of our team, you will be expected to meet productivity and quality standards set by the company. This includes processing a certain number of enrollments and ensuring accuracy and attention to detail in all tasks.
- Assist with Special Projects: From time to time, you may be assigned special projects related to enrollment and eligibility. This could include data analysis, process improvement, or other tasks as needed.
- Uphold Company Values: As a representative of UnitedHealth Group, you will be expected to
Bachelor's Degree In Healthcare Administration, Business Administration, Or A Related Field.
2+ Years Of Experience In Healthcare Enrollment And Eligibility, Preferably In A Managed Care Setting.
Strong Understanding Of Healthcare Regulations And Guidelines, Such As Hipaa And Cms Requirements.
Excellent Communication And Interpersonal Skills, With The Ability To Effectively Communicate With Diverse Populations.
Proficient In Computer Applications And Systems, Such As Ms Office And Electronic Medical Records (Emr) Systems.
Data Entry
Communication
Time Management
Organizational Skills
customer service
Critical Thinking
Teamwork
Detail-oriented
Problem-Solving
Adaptability
Multi-tasking
Emp
Communication
Emotional Intelligence
Leadership
Time management
Interpersonal Skills
creativity
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Enrollment and Eligibility Representative in Bengaluru, Karnataka, India is between ₹ 2,00,000 - ₹ 4,00,000 per year. This can vary depending on the specific company, experience level, and job responsibilities. Some companies may offer additional benefits such as bonuses, commissions, and health insurance.
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UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.

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