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Job Details


UnitedHealth Group

Enrollment & Eligibility Representative - Remote in California OR Minnesota

Healthcare

All

Full Time

On Site

No

Los Angeles, California, United States

If you are located within the state of California OR Minnesota, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.

Energize your career with one of Healthcare’s fastest growing companies.

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 & Performance.

This position is full - time. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM PST (Pacific Standard Time zone) including the flexibility to work occasional overtime based on business need. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

  • Contribute to the success of customer implementation through active participation in meetings for new business wins
  • Prepare plan materials such as administrative documents and customer education materials
  • Perform structure building, revisions and billing set up
  • Research installation issues and develop customer specific resolutions
  • Audit contract loads for adherence to quality measures and reporting standards

This is a challenging role with serious impact. It’s a fast paced, high - volume environment that requires you to work independently while maintaining a strong focus on company policies and guidelines. Your accuracy will be vitally important and monitored carefully to ensure our system is correctly coded and that all plan documents are precise.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma / GED (or higher) OR equivalent work experience
  • 1+ years of case installation experience
  • Knowledge of claims processing systems, guidelines, and processes
  • Intermediate Microsoft Excel skills (create and edit formulas, pivot tables, spreadsheets)
  • Ability to work any full - time shift between the hours of 8:00 AM - 5:00 PM PST (Pacific Standard Time zone) including the flexibility to work occasional overtime based on business need

Preferred Qualifications:

  • Bachelor’s Degree (or higher)
  • Experience in working with medical claims platforms
  • COSMOS OR UNET experience

Telecommuting Requirements:

  • Reside within the state of California OR Minnesota
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Ability to keep all company sensitive documents secure (if applicable)
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at [Register to View]

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. [Register to View]

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #YELLOW