Optum hiring Provider Enrollment Representative - National Remote in Dallas, TX | LinkedIn (2024)

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.  Responsible for preparing, processing, and consulting with customers regarding the completion of Payer defined Electronic Data Interchange (EDI) Enrollment forms to process provider’s healthcare transactions across Optum’s electronic healthcare payer network.

Candidates will field and respond to customer inquiries across the various service channels: phone, chat, email, and online support portal. Customers could be provider end-users, administrators, vendors, and insurance carriers. Candidate is expected to research and resolve reported issues within organizational metric targets.

Successful candidates must have strong attention to detail, written and verbal communication skills, organizational and analytical skills. He or she must be able to prioritize and manage numerous projects/issues, while building and maintaining positive customer and payer relationships.

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 8:30am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.

• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities

• Preparing, processing, and maintaining enrollment forms in accordance with Payer rules and internal processing metrics/SLAs.
• Analyzes problems with failed/rejected enrollment forms.
• Correspondence with customers and Payers to verify enrollment form status.
• Assist customers with Enrollment tools/access/self service capabilities.
• Initiate changes to increase or change workflows to drive quality and productivity.
• Manage assigned Implementation projects and associated customer Go-Live deadlines in accordance with team procedures and policies.

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

• High School Diploma/ GED
• 1+ years of remote call center experience
• 1+ years of healthcare customer service experience.
• Experience interacting with clients or customers in a professional setting.
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
• Proficient with Microsoft Windows Operating Systems
• Ability to work Monday - Friday, 08:30AM - 05:00PM CST
• Must be 18 years of age OR older

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.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.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #GREEN