Enrollment and Eligibility Representative

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. 

Primary Responsibilities:

• Internal Reporting of Inventory and tracking of assignment
• Complex Inventory Management along with full production
• Regularly tracking of target dates & TAT of assigned inventory
• Ensure process instructions are delivered to team and Urgent Special Groups are completed within timeline
• Conduct Training on new hires and refresher to existing team members as and when required
• Assisting individuals with questions that arise regarding assigned inventory
• Support individuals through the training program and on the floor by providing immediate feedback on work performed.  Serve as an expert to clarify process policies and procedures and provide information on observed trends and additional training opportunities
• Error/Escalation analysis to be done for the process, weekly/monthly as appropriate Basis the error feedback/escalations
• Communicating with the client to keep track of the changes in the guidelines and sharing updates with the team regularly
• Active participation on conference calls with onshore counterparts and other stakeholders
• All updates should be documented and shared in a consistent & timely manner
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• 3+ years of experience in HPDB.Net & Implementation Site
• 3+ years of experience inn HPDB coder (Specifically in Eligibility & benefit installation)
• Working Knowledge of MS Office 
• Proven good communication & comprehension skills
• Proven ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
• Proven ability to remain focused and productive each day though tasks may be repetitive

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.