Urgent Search Enrollment and Eligibility Representative

2 weeks ago

Hyderabad, Telangana, India Optum Full time
Job Description

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.

Primary Responsibilities:

- Be able to meet standard performance targets like Quality, TAT, NPS, etc.
- Be able to clearly communicate and resolve customer/broker queries either through email/call
- Work independently with minimum supervision and adhere to all process guidelines
- Be able to communicate process failures and propose remediation, as well as developing remediation plans in all variety of mediums (verbal, writing, PowerPoint)
- Eager to take on more responsibilities and be able to execute the adhoc tasks
- Maintains expert level knowledge of Eligibility process and provide inputs to Leadership on any process gaps that exist
- Ensure compliance with internal policies and procedures, external regulations and information security standards
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

- Minimum knowledge of Healthcare terminologies or concepts
- Understand US Accent and healthcare terminologies or concepts
- Moderate proficiency with Microsoft Word and Excel
- Demonstrated ability to work in permanent night shift and extended shift as per business need
- Proven good interpretation of SOP guidelines and emails
- Proven excellent communication skills in both verbal & written (international voice experience is preferred)
- Proven excellent communication skills in both verbal & written
- Proven attention to detail - should be quality focused
- Proven good Team player and ability to work with minimal supervision
- Proven solid computer skills, including working knowledge of MS applications and keyboarding skills
- Proven flexible and adapt basis business need

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