At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.

In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements.

Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or related entity in a full time, part time, or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

UnitedHealth Group is a drug - free workplace. As an Optum employee, you will provide support to the Owensboro health account. Opportunities at Owensboro Health , in strategic partnership with Optum.

They are a nonprofit system with over 200 providers at more than 20 locations, 3 outpatient facilities, a certified medical fitness facility, a surgical weight loss center and the Mitchell Memorial Cancer Center.

Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

In addition, the Eligibility & Enrollment Representative will work closely with the IT department, Client, members, providers, Operations Trainer, and regulatory agencies (including but not limited to Maximus, CMS, NYDOH, OPWDD) and various vendors to troubleshoot and resolve enrollment related matters.

The Eligibility & Enrollment Representative (EER) position is responsible for end-to-end business process activities related to automated enrollment processing creating, controlling, and improving business processes.

The Eligibility & Enrollment Representative is also responsible for identifying / researching and updating any issues/discrepancies related to the enrollment load transactions and processing and reconciling the related data.

Responsible for all member Grievances (auditing and scoring call recording, document grievance and elevation to client, tracking and resolution). Responsible for auditing/reconciling all enrollment related transaction files including but not limited to welcome kit files, ID card and PCP change files, vendor files as well as daily/monthly reconciliation of membership.

We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Experience with Microsoft Excel (creating, editing, sorting, filtering spreadsheets), Microsoft Word (creating, editing, saving, sharing documents), Microsoft Access (create, edit, format, manipulate data), Microsoft Teams (sending/ receiving calls/ messages, sharing documents), and Microsoft Outlook (creating/ responding to emails, scheduling via Outlook Calendar.

We offer 4 - 6 weeks of shadow based / on-the-job training (with current member of staff to follow classroom based training). Knowledge of or experience with Medicare/ Medicaid Enrollment processing or managed care.

The hours during training will be an 8-hour shift between the hours of 8:00am to 8:00pm EST, Monday - Friday. Ability to work regularly scheduled shifts within our hours of operation Monday - Friday 8:00am - 8:00pm, including the ability to work a minimum of one 8-hour shift per week between the hours of 11:00am - 8:00pm EST.

Responsible for verification and reconciliation including correcting eligibility/enrollment issues that occur daily/weekly/monthly. 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 8:00am - 8:00pm EST, including a minimum of one 8-hour shift per week between the hours of 11:00am - 8:00pm EST. It may be necessary, given the business need, to work occasional overtime.

The role of the EER is to monitor, audit, and reconcile all Enrollment related activities / daily, weekly, monthly transactions to confirm accuracy and timely processing of all eligibility files in adherence to federal and state regulatory guidelines.