9 days old

Associate Enrollment / Eligibility Representative - Wausau, WI

Wausau, WI 54403
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Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.


It's that time, isn't it? You're ready for the next step forward and an opportunity to build on your skills. And it just so happens that there's never been a better time to become a part of the team at UnitedHealth Group. Today, more and more people are turning to our global health care services organization because we're leading the way in innovative ideas and quality. Here's where you come in. As part of our fast-paced operations team, you'll help ensure that we bring on new members comprehensively and accurately. You bring your energy, we'll provide the training, resources and opportunities you'd expect from a Fortune 6 leader.


Positions in this function are responsible for preparing, processing and maintaining member or group enrollments. Positions may load member or group data into the enrollment database & update the database with changes. Position also responds to member eligibility or group questions and verifies enrollment status. Position will be main point of contact for group customers in regards to enrollment related items. Position will answer incoming phone calls from customers (members, providers, groups), provide expertise and support to customers, and practice superior customer service skills in all lines of communication. Position may work with various types of member correspondence. Position is also responsible for reconciling eligibility discrepancies identified by error reports, analyzing transactional data, and submitting retroactive eligibility changes.


Primary Responsibilities:

  • Serve as primary contact as it relates to all enrollment tasks for assigned book of business, which include multiple group customers; maintain satisfied customers by providing superior service and practice attention to detail in various responsibilities
  • Follow established procedures to maintain enrollment data in applicable systems and databases based on customer request, electronic file, or internal reports; seek guidance from superiors (mentor, team-lead, supervisor) for non-standard enrollment inquiries
  • After new employee ramp-up period: employee is expected to meet or exceed departmental established productivity, quality, and turn-around standards; follows department guidelines to track own work completed
  • Once fully trained, take ownership of assigned workload following established procedures; frequently or periodically may require guidance from superiors to complete responsibilities
  • Follows departmental guidelines to manage and prioritize own workload on a daily basis for assigned group customers in order to meet customer demands; may require assistance from superiors in managing or prioritizing this workload
  • Read, interpret, and communicate eligibility requirements following plan guidelines
  • Practice advanced follow-up skills with internal and external parties to ensure group customer expectations are attended to and that member data is accurately reflected in enrollment system at all times
  • Review moderately complex error reports, analyze member enrollment data, and correct enrollment system(s) based on findings
  • Answer member, provider, and group customer phone calls; adhering to department expectations for answering calls and providing friendly customer service
  • Resolve customer inquiries as they relate to enrollment and eligibility through all lines    of communication, including e-mails and phone calls; provide customer service in a friendly and professional manner to internal/external parties; document call details in applicable system

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.

Posted: 2020-03-25 Expires: 2020-04-25

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Associate Enrollment / Eligibility Representative - Wausau, WI

UnitedHealth Group
Wausau, WI 54403

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