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Bilingual English and Spanish Associate Enrollment - Eligibility Representative - Miami, FL

Optum
401(k)
United States, Florida, Miami
Feb 21, 2025

Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast - growing environment.

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.

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 8:00am - 5:00pm. Our office is located at Jackson Memorial Hospital, 1611 Northwest 12th Avenue Miami FL, 30167.

We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

Primary Responsibilities:



  • Monitors and fosters ongoing communications with government agencies regarding the status of claims.
  • Documents and updates internal database based on daily contact of select members of assigned applicant group and application evidence requirements, i.e., work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health insurance information, employment and salary verification, medical history, and documentation where evidence is required.
  • Reviews inbox for daily work queues, identifies missing evidence and follows through to completion.
  • Answers incoming calls from internal and external customers.
  • Assists callers in resolving account issues by identifying and taking appropriate actions including completing and requesting required forms to support application process.
  • Effectively educates and answers inquiries from patients and family representatives regarding application process, while safeguarding Protected Health Information (PHI).
  • Assists clients with scheduling appointments, reminding of appointments, and arranging transportation as needed.
  • Identifies and takes appropriate actions to complete and submit required financial, medical, and personal information forms to support the client application process.
  • Diligently follows-up with institutions/businesses resolving issues ultimately affecting application approval.
  • Identifies appropriate escalation points and works with direct manager to resolve issues.
  • Reviews outgoing client material for accuracy prior to submission.
  • Complies with ethics, privacy and compliance policies and procedures.
  • Ability to rapidly adopt and respond to changes in work priorities.



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 experience
  • Must be 18 years of age OR older
  • Bilingual Fluency in English and Spanish
  • 1+ year of customer service experience in healthcare or state/federal agency
  • Experience with Microsoft Office products
  • Ability to work full time onsite at Jackson Memorial Hospital, 1611 Northwest 12th Avenue Miami FL, 30167
  • Ability to work 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 8:00am - 5:00pm.



Preferred Qualifications:



  • Experience with State and Federal benefits



Soft Skills:



  • Demonstrated verbal and written skills
  • Demonstrated Organizational skills
  • Proven ability to work independently
  • Proven ability to build strong relationships



The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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