**IMPORTANT NOTE: Work-from-home jobs fill quickly. While the positions linked below were active at the time this video was published, they may close with little to no notice. Please apply immediately if you’re interested. If a link doesn’t work, it likely means the job has been filled. For even more frequently updated job opportunities, check out my Mega List of Jobs or join Extra Leads Club (links below!).**

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Eligibility Research Rep I (Remote, $15/hr)

Job Details

Description

American Specialty Health, Inc. is seeking a detail-oriented research representative for our Eligibility team. This position will research and resolve eligibility verification requests while providing the highest quality of customer service by maintaining a professional and courteous manner. The ideal candidate will have strong typing and 10-key skills while maintaining 98% accuracy. The research representative follows confidentiality guidelines to ensure security measures are enforced and proprietary information remains protected.

Remote Worker Considerations

Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).  

Responsibilities

  • Verifies member eligibility from the eligibility file, communications logs, and health plan websites or by calling the health plan directly when all other resources are exhausted.
  • Inputs and saves verified member’s information into the communications log and/or member maintenance.
  • Promptly processes and completes research to ensure turnaround times are met.
  • Makes follow up calls to practitioners and members to provide research results.
  • Builds or updates member and group records in ASH’s proprietary claims processing system including documentation in notes.
  • Follows confidentiality guidelines to ensure security measures are enforced and proprietary information is protected
  • Must maintain a minimum production level of 85 claims, 60 CSS/MNA, or 60 ASHLink requests per day pro-rata with no less than 98% accuracy.
  • Ability to assist in multiple functions as needed.
  • Ability to participate in peer mentorship as needed.

Qualifications

  • High School Diploma required.
  • Minimum one year experience with 10 key, typing, and computer skills. 8,000-10,000 key strokes per hour required.
  • Excellent customer service skills, experienced in making outbound calls and meeting expectations for productivity and accuracy required.
  • Experience with claims processing or eligibility verification preferred.

Core Competencies

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage time.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time. 

Physical Requirements

Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. 

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

#LI-Remote #DtataEntry #Data #Typing #10key #Healthcare #Claims #Call #Customer Service

APPLY HERE: Eligibility Research Rep I (Remote, $15/hr)

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HRIS Analyst (Remote)

Job Details

American Specialty Health Incorporated is seeking an experienced HRIS professional to support HRIS implementations, support new and existing HRIS systems and functionality, provide ongoing support to business partners, support reporting functions, and provide system administration assistance.  Position contributes to the continuous quality and business process improvement for the company. 

Salary Range

American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $56,700 to $85,000 Full-Time Annual Salary Range.

Responsibilities

  • Lead HRIS projects involving implementations, new functionality, process improvement and related administration.
  • Leads and/or participates in the future implementation and administration of various HR systems and data feeds.
  • Leads and/or participates in functionality enhancements of existing HR systems.
  • Continually evaluates and identifies areas and processes to improve or automate.
  • Communicates HRIS changes/enhancements to users.
  • Develops and delivers trainings to all levels of employees.
  • Creates and maintains reference materials and provides on-going support for end-users.
  • Maintains user roles for data access, business processes and workflow administration.
  • Work with various Benefit vendors on file feeds and benefit eligibility for employees.
  • Develops, modifies, and executes reports using Business Intelligence to support HR business needs.
  • Evaluates the inventory of reports, current processes and reporting tools to identify opportunities of improvement. Recommends and/or develops custom reports and dashboards.
  • Maintains standard reports inventory, updates and revises as necessary to ensure reports are relevant and provide value.
  • Fulfill ad hoc and recurring data requests from internal customers.
  • Provides analytical documentation to support the development of HR programs and policies.
  • Provides support for various HRIS processes.
  • Supports maintenance of system tables and business rules.
  • Provides technical support for HRIS including, but not limited to, researching and resolving system issues and unexpected results or process flaws. Escalates issues as needed with HRIS vendor to attain resolution of issue.
  • Notifies affected users of technical or known issues in a timely manner.
  • Supports implementation, testing, and modification of data interface programs.
  • Runs data exports and transmits to third-party vendors. Researches and resolves any data issues between HRIS and vendors systems.
  • Supports data imports from internal customers and third-party vendors.
  • Assists with daily/weekly data entry of personnel transactions. Ensures timely processing to align with payroll schedule.
  • Confirms accuracy and integrity of all data entered.
  • Creates and maintains HRIS procedures.
  • Manages requests in the HRIS mailbox.
  • Continually increase HRIS knowledge through participation in user groups, webcasts, trainings, etc. to ensure best practices and to keep up on current trends.

Qualifications

  • Bachelor’s degree or equivalent combination of training and experience. If equivalent experience, high school diploma required.
  • 3 years of HRIS experience. UKG Pro (formerly UltiPro) experience required. UKG Pro Backoffice, Benefits Prime, Performance Management, Platform Configuration, and Compensation Management experience a plus. Jobvite, Jobvite Onboarding, LMS365, and Visio experience a plus.
  • Experience managing HRIS projects including implementations, functionality enhancements, and process improvement initiatives.
  • Development and delivery of trainings to support new/existing HR systems.
  • Business Intelligence experience required; UKG Pro People Analytics preferred.
  • Experience querying data, data manipulation and report generation.
  • Demonstrated proficiency in Microsoft Office Suite (Excel, Word, and Outlook).
  • Strong knowledge of principles, practices and standards of Human Resource administration.
  • Demonstrated ability to apply a broad, integrated perspective when planning, problem-solving and assessing impact across functional areas. This includes identifying critical steps, activities and upstream/downstream impacts.

Core Competencies

  • Strong knowledge of principles, practices and standards of Human Resource administration.
  • Demonstrated ability to apply a broad, integrated perspective when planning, problem-solving and assessing impact across functional areas. This includes identifying critical steps, activities and upstream/downstream impacts.
  • Strong analytical skills.
  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage time.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time. 

Physical Requirements

Ability to speak, see and hear other personnel and/or objects.  Ability to communicate both in oral and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard.  Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. 

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

#LI-Remote #HRIS #Humanresources #Data #systems #UKGPro #UltiPro #performance

APPLY HERE: HRIS Analyst (Remote)

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Senior Customer Success Associate

Job Details

  • We’re transforming the grocery industry

    At Instacart, we invite the world to share love through food because we believe everyone should have access to the food they love and more time to enjoy it together. Where others see a simple need for grocery delivery, we see exciting complexity and endless opportunity to serve the varied needs of our community. We work to deliver an essential service that customers rely on to get their groceries and household goods, while also offering safe and flexible earnings opportunities to Instacart Personal Shoppers.

    Instacart has become a lifeline for millions of people, and we’re building the team to help push our shopping cart forward. If you’re ready to do the best work of your life, come join our table.

    Instacart is a Flex First team

    There’s no one-size fits all approach to how we do our best work. Our employees have the flexibility to choose where they do their best work—whether it’s from home, an office, or your favorite coffee shop—while staying connected and building community through regular in-person events. Learn more about our flexible approach to where we work.

    Overview

    About the Role

    The Senior Customer Success Associate will assist in bringing Eversight’s AI-powered pricing and promotion capabilities to customers, enabling them to maximize value and ROI. You will lead customers in designing, running, and analyzing digital experiments that inform buyer behavior and provide actionable insights. The role includes training customers on the platform, developing promotional strategies, and implementing changes that positively impact customer businesses.

    About the Team

    Eversight by Instacart, is the recognized leader in AI-powered pricing and promotions. Global brands and retailers rely on the Eversight platform to optimize promotional strategies in response to market conditions and to deliver higher ROI on promotional spend. Eversight by Instacart’s Data Solutions are driving strong margin and sales volume improvements for leading companies such as Coca-Cola, Frito-Lay, Haleon, and more.  Eversight was founded in 2013 and acquired by Instacart in 2022.

    About the Job

    Relationship Management

    • Forge and nurture strong relationships with key customer stakeholders, including power users, program managers, and executive stakeholders.
    • Serve as the subject matter expert for customers, providing guidance to help them maximize Eversight’s innovative capabilities.
    • Work directly with customers to implement promotional strategies that deliver transformative outcomes.

    Engagement Management

    • Deliver a high-quality customer experience through strong project management, ensuring timely outputs and proactively addressing bottlenecks.
    • Manage multiple data-driven processes and schedules while maintaining a high standard of execution.
    • Standardize customer support materials and processes to improve scalability.
    • Represent the “voice of the customer” internally, working closely with Product, Engineering, and Data Science teams to recommend improvements and add new capabilities.

    Goals

    • Guide customers in designing, running, and analyzing digital experiments to generate actionable results that optimize pricing and promotions.
    • Enable customers to develop, refine, and adhere to promotional guidelines while driving compliance with in-market standards.
    • Spearhead cross-functional initiatives that unlock growth opportunities for Eversight, including analytics, operations, and product development.

    What’s in it for You

    • Join a dynamic and expanding team within Instacart where your contributions can make an immediate impact.
    • Experience significant personal and professional growth with a focus on development within a talented and supportive team.
    • Be part of a high-growth organization with opportunities to shape the future of AI-powered pricing and promotions.
    • Take on responsibilities and special projects that align with your interests and career trajectory.

     

    About You

    Minimum Qualifications

    • You’re passionate about working directly with customers and excelling at relationship-building; experience in customer-facing or cross-functional roles is a plus.
    • You excel at managing multiple workstreams independently, have high attention to detail, and proactively recognize and address challenges.
    • You’re a structured problem solver with strong analytical thinking, a curiosity to learn, and an eagerness to create impact.
    • You thrive in collaborative environments, with excellent writing and communication skills, and can deliver compelling presentations that address the bigger picture.
    • You are intrigued by fast-moving consumer goods, retail, and shopper behavior, with interest in price and promotional strategies; familiarity with CPG or Retail industries is an advantage.
    • You enjoy working in a dynamic, entrepreneurial, and close-knit team environment.

    Preferred Qualifications

    • You have approximately 1-3 years of work experience, ideally in an analyst or associate role
    • You have a Bachelor’s degree, ideally with a business degree or in a quantitative field

    Instacart provides highly market-competitive compensation and benefits in each location where our employees work. This role is remote and the base pay range for a successful candidate is dependent on their permanent work location. Please review our Flex First remote work policy here.

    Offers may vary based on many factors, such as candidate experience and skills required for the role. Additionally, this role is eligible for a new hire equity grant as well as annual refresh grants. Please read more about our benefits offerings here.

    For US based candidates, the base pay ranges for a successful candidate are listed below.

    CA, NY, CT, NJ
    $86,000$95,000 USD
    WA
    $82,000$91,000 USD
    OR, DE, ME, MA, MD, NH, RI, VT, DC, PA, VA, CO, TX, IL, HI
    $78,000$87,000 USD
    All other states
    $71,000$79,000 USD
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Representative II, Customer Care Order Placement

Job Details

SHIFT: Your new hire training will take place Monday-Friday, 8:00am-5pm EST, mandatory attendance is required.  Once you have completed new hire training, you will take part in a shift bid to determine your schedule.

Shift bid schedule is based on business need. Must be open & flexible to work any hours 8am EST to 9:00pm EST & will also involve Saturday hours.

What Customer Service Operations contributes to Cardinal Health

Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.

Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.


Job Summary

Responsible for answering inbound calls from customers to place orders or reorders of medical supplies. Agents will act as a liaison, problem-solving order issues, researching accounts and providing resolutions in a high-volume call center.
The Representative II, Customer Service Operations processes orders for distribution centers and other internal customers in accordance with scheduling, demand planning and inventory. The Representative II administers orders in internal systems and responds to customer questions, clearly communicating delays, issues and resolutions. This job also processes non-routine orders, such as product samples, and ensures that special requirements are included in an order.

Responsibilities

The Customer Care Representative operates as a “Universal Agent”, who is able to meet the needs of our customers throughout the entire order placement lifecycle.  Ultimately, qualified candidates, will be responsible for providing customer assistance, including, but not limited to, order placement, product information, order status, order discrepancies, and customer complaints for approximately ~60-80 incoming calls per day.

  • Answer incoming phone calls from customers, caregivers, and applicable referral sources regarding various medical supplies while having sincere interest in the speaker
  • Ability to handle high call volumes consistently throughout the workday that range in complexity and sensitivity while maintaining composure with customers
  • Process orders for new and existing customers, collecting necessary information for insurance billing; collect payment as needed
  • Operate company provided hardware and navigate multiple computer programs throughout the day to address customer’s concerns
  • Consults with Supervisor or Team Lead on complex and unusual problems
  • Adhere to business processes to ensure all work is being done compliantly and in accordance with regulatory standards
  • Navigate multiple systems and consult with internal resources to provide order status updates to achieve first time call resolution
  • Interpret the meaning of insurance terminology, plans and documentation and explain what it means in an easy-to-understand way
  • Explain our products and offerings to our customers to ensure compatible with customer conditions
  • Identify and communicate appropriate next steps and expectations to customers based upon system messaging, insurance requirements, and order placement process
  • Maintain a positive, empathetic, and professional attitude toward customers and co-workers at all times

Qualifications

  • High school diploma, GED or equivalent, or equivalent work experience, preferred
  • 2-4 years’ experience in high volume call center preferred where communication and active listening skills have been utilized
  • Previous experience working in a remote/work from home setting is preferred
  • Prior experience working with Microsoft Office is preferred          
  • Prior experience working with order placement systems and tools preferred
  • Customer service experience in prior healthcare industry preferred
  • Root cause analysis experience preferred
  • Familiarity with call-center phone systems preferred
  • Excellent Phone Skills with a focus on quality
  • Previous experience being able to achieve daily call center metrics including but not limited to average handle time, adherence, average speed to answer, QA

What is expected of you and others at this level

  • Applies acquired job skills and company policies and procedures to complete standard tasks
  • Works on routine assignments that require basic problem resolution
  • Refers to policies and past practices for guidance
  • Receives general direction on standard work; receives detailed instruction on new assignments
  • Consults with supervisor or senior peers on complex and unusual problems

REMOTE DETAILS: You will work from home, full-time.

As a work from home employee, the expectation is that you have your camera on when participating in your onboarding/training activities.  Please note that work from home is not a substitute for childcare or eldercare, arrangements must be made ahead of your start date.  You will be required to have a dedicated, quiet, private, distraction free environment with access to high-speed internet.

Internet requirements include the following:

Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, WIFI extenders, Cellular/Hot Spot connections are NOT acceptable.

  • If having connectivity issues and our IT dept. suspects connectivity issues are due to your ISP or your current set up, we will request that you change providers or rework your set up to not disrupt your daily productivity. 

Download speed of (25Mbps – Minimum) but (50Mbps – Recommended) if nobody else at home streaming.
Upload speed of (10Mbps – Recommended)
Ping Rate Maximum of 30ms (milliseconds)
Hardwired to the router
Surge protector with Network Line Protection for CAH issued equipment

WHO WE ARE: Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. With 50 years of experience, approximately 48,000 employees and operations in more than 40 countries, Cardinal Health seizes the opportunity to address healthcare’s most complicated challenges — now, and in the future.

Anticipated hourly range: $15.75/hr. – $18.50/hr.

Bonus eligible: NO

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

  • Medical, dental and vision coverage
  • Paid time off plan
  • Health savings account (HSA)
  • 401k savings plan
  • Access to wages before pay day with myFlexPay
  • Flexible spending accounts (FSAs)
  • Short- and long-term disability coverage
  • Work-Life resources
  • Paid parental leave
  • Healthy lifestyle programs

Application window anticipated to close: 08/02/2025 *if interested in opportunity, please submit application as soon as possible.

The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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HR Service Center Associate 1

Job Details

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

  • We serve faithfully by doing what’s right with a joyful heart.
  • We never settle by constantly striving for better.
  • We are in it together by supporting one another and those we serve.
  • We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

  • Eligibility on day 1 for all benefits
  • Dollar-for-dollar 401(k) match, up to 5%
  • Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
  • Immediate access to time off benefits

At Baylor Scott & White Health, your well-being is our top priority.

Note: Benefits may vary based on position type and/or level

Job Summary

The Human Resources (HR) Service Center Associate 1 is the first contact for the Shared Service Center (SSC) in a specific area. This position involves receiving, routing, resolving, and closing all HR inquiries. The associate uses knowledge of the organization’s processes, policies, and procedures to investigate and resolve issues and questions.

SALARY

The pay range for this position is $17.83 (entry-level qualifications) – $26.75 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience.

Essential Functions of the Role

  • Serves as the first contact when employees and managers reach the SSC. Receives, routes, resolves, and closes many inquiries. Routes specialty questions to Tier 2 Specialists, HR Business Partners (HRBPs), or Centers of Expertise (COEs).
  • Partners with appropriate SSC leadership, staff, COEs, HRBPs, HRIS or third parties to resolve complex inquiries or transactions as needed.
  • Helps employees and managers navigate the HR portal, PeopleSoft, or Oracle Cloud applications. These include Compensation, Learning, Performance Management, Recruitment, Succession Planning, and Talent Management.
  • Guides employees and managers to general HR policies and procedural manual.
  • Provides data entry help when employees can’t complete activities through the self-service portal. This includes deposit enrollment, life events, general deductions, new hire benefits enrollment, and personal data changes.
  • Fulfills employment verification requests.
  • Performs daily review of open case cues to ensure inquiries and requests are resolved and closed properly and on time.
  • Partners with SSC Managers to review performance outcomes against SLAs and KPIs. Identifies trends needing COE policy and procedure review.
  • Seeks opportunities to improve the quality, efficiency and effectiveness of personal and team work.
  • Seeks feedback, continuously learns, and takes advantage of opportunities to improve knowledge, skill, and experience.
  • Maintains working knowledge of all HR and Payroll Operations, trends and developments within healthcare, HR and the organization.
  • Work to enhance the capability of self.
  • Participates in training delivery for staff, SSC staff, HR partners, SSC customers, and third-party vendors, where appropriate.

Key Success Factors

  • Prior call center experience required.
  • Prior CRM experience (i.e. operating a phone tree, routing calls, fielding inquiries through chat and phone) required.
  • Excellent social, listening, verbal and written communication skills.
  • Exceptional customer service skills.
  • Ability to work in a fast paced environment while maintaining accuracy and production requirements.
  • Use and navigate through many computer applications and databases. Enter job data changes and personal data changes. Research and log customer inquiries.
  • Prior PeopleSoft, Oracle Cloud and Service Now applications experience highly desirable. Familiarity with Microsoft O365 applications.
  • Ability to build excellent cross functional relationships and interact effectively with all levels of staff and management.
  • Must be detail oriented, a self-starter and work well alone with limited direct supervision.

Belonging Statement

We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.

QUALIFICATIONS

  •  EDUCATION – H.S. Diploma/GED Equivalent
  •  EXPERIENCE – Less than 1 Year of Experience
  • Preferences: Customer service experience and phone experience (contact center)
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Associate Enrollment and Eligibility Representative – National Remote

Job Details

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.   

This position is full-time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.  

We offer 2 weeks of paid training. Training will be conducted virtually. The hours will be an 8-hour shift between 7:00am – 5:00pm PST, Monday – Friday.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.    

Primary Responsibilities:

  • Researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) records.
  • Send correspondence to members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections.
  • Reconciling reports
  • Performing basic clerical functions with proficient PC skills
  • Analytical and Researching techniques to trend or quantify projects
  • Initiate and assist with developments/changes to increase or change quality and productivity.
  • Preparing, processing, and maintaining new member or group enrollments
  • Responding to member eligibility or group questions & verify enrollment status
  • Working with various types of member correspondence
  • Reconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes.
  • Inventory control of member and group transactions   

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 or equivalent work experience
  • Must be 18 years of age or older
  • 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • 1+ years of customer service experience
  • Stable work experience
  • Computer skills, including working knowledge of MS Windows and strong mouse and keyboarding skills
  • Ability to work full-time Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime.   

Preferred Qualifications:

  • Healthcare experience   

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. 

Physical Requirements and Work Environment:

  • Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
  • Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity  

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy    

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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $16.00 – $27.69 per hour 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.  

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.     

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

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APPLY HERE: Associate Enrollment and Eligibilty Representative – National Remote

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