[Hiring] Enrollment Specialist @UnitedHealth Group

Role Description

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

The Enrollment Specialist has primary responsibility for enrolling members in our Health Management programs: Ongoing Condition CARE, Maternity CARE, and Wellness CARE or for Complex CARE support. Duties include:

• Setting up a case in our documentation platform, Aerial, and documenting recruitment activities in Aerial.
• Receiving inbound calls, taking calls via an autodialer, and making manual outbound calls to members who are eligible for program participation.
• Explaining the benefits of enrolling in the applicable program and scheduling the member for an initial assessment with a nurse or health coach in MyHealth Direct.
• Handling inbound phone calls for rescheduling appointments or other questions.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:30am - 8:00pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 to 6 weeks of paid training. The hours during training will be 8:00 am to 4:30 pm, Monday - Friday CST. Training will be conducted virtually from your home.

Primary Responsibilities:

• Apply knowledge/skills to activities that often vary from day to day.
• Demonstrate a moderate level of knowledge and skills in own function.
• Make outbound calls to members who are eligible to participate in one of our Health Management coaching programs.
• Receive inbound calls to enroll members and/or provide customer service.
• Require little assistance with standard and non-standard requests.
• Solve routine problems on own.
• Work with supervisor to solve more complex problems.
• Prioritize and organize own work to determine member eligibility.
• Follow protocols to task requests appropriately.
• Check level of benefit codes to determine eligibility for program enrollment to determine next steps.
• Reference automated job aid tools via the computer to identify appropriate procedures when needed.
• Access claims information.
• Review and interpret call history documentation (e.g., case notes).
• Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information).
• Take calls and questions from members regarding case status.
• Reference automated job aid tools via computer to research relevant rules, regulations, or procedures.
• Learn computer system and process changes and updates and incorporate into daily work.
• Contact internal resources if necessary to clarify information.
• Identify appropriate resource (e.g., care management consultant, case manager, supervisor) to respond to member questions.

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.

Qualifications

• High School Diploma / GED.
• Must be 18 years of age or older.
• 2+ years of general customer service experience analyzing and solving customer problems.
• 6+ months of experience working in a call center environment.
• Ability to create, edit, save, and send documents utilizing Microsoft Word and Microsoft Excel.
• Ability to work full-time (40 hours/week) Monday - Friday with flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:30am - 8:00pm CST.
• It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications

• Experience working within the Healthcare Industry.
• Experience working in a Hospital, Physician’s Office, or Medical Clinical setting.
• Professional experience in a clerical or administrative support related role.
• Working Knowledge of Medical Terminology to communicate with members and providers.
• Must have worked consistently for the last 24 months for only 1 employer.

Telecommuting Requirements

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

Pay and Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as:

• A comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

The salary for this role will range from $18 - $32 hourly based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable, and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard, and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences, and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.