What are the responsibilities and job description for the Enrollment Specialist - San Juan, PR position at UnitedHealth Group?
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.
The Enrollment Associate is responsible for installing & implementing employers' contracts and enrolling member associated with those contracts into our system. The associate will be responsible for assisting members with issues related to enrollment and premium payments. This position acts as a liaison between member services and the enrollment plus finance departments. This position is responsible for reconciling enrollment and billing related discrepancies related to members.
Primary Responsibilities:
- Complete the full cycle of Identification, Validation, Enrollment and Billing procedures related to members
- Work on the customer’s applications, eligibility and fallouts arising out of discrepancies in the systems
- Ensure the accuracy and completeness of applications taken
- Billing activity includes monthly generation of member premium bills and payments received to fulfill those bills
- Correct all Billing discrepancies in a way that member no longer owes money
- Changes in Payment types as requested by Member
- Complete Account reconciliation of members post terminating the member from Services
- Works flexibly and cooperatively under supervision with all team members
- Completes all responsibilities according to established protocols, policies and standard practices plus adhere to regulatory compliance programs such as HIPAA
- Other duties may apply
***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***
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:
- 1 years of experience in a production environment (metrics)
- Proficient in MS Office with solid computer skills (e.g. multiple systems experience, keyboarding skills, Microsoft word, Power Point)
- Proficient in verbal and written English skills
- Ability to work 40 hours/week during standard business operating hours Monday - Friday from 8am -7pm AST (It may be necessary, given the business need, to work occasional overtime on weekends and holidays)
Preferred Qualifications:
- Experience in medical billing /claims or enrollment
- Healthcare experience
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 disparitiesand improves health outcomes — an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employers 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
