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Associate Enrollment Eligibility Representative Jobs

VIVA USA INC

Eligibility Representative

Chicago, IL · On-site +1

Position Overview The Eligibility Representative is responsible for performing analytical and ... Key Responsibilities Process and maintain eligibility and enrollment transactions, including ...

VIVA USA INC

Eligibility Representative

Chicago, IL · On-site +1

Position Overview The Eligibility Representative is responsible for performing analytical and ... Key Responsibilities Process and maintain eligibility and enrollment transactions, including ...

Strive Health

Associate, Enrollment

Denver, CO

$22.12 - $25/hr

Depending on the patient's eligibility, this role will also be collecting sensitive patient ... the Enrollment Associate. By establishing an empathetic connection with our patients, this ...

HCC

Associate, Enrollment Services

Houston, TX · On-site

JOB SUMMARY The Enrollment Services Associate is responsible for working closely with College ... Represent the College at community recruitment and retention events. Coordinate with the district ...

Strive Health

Associate, Enrollment

$22.12 - $25/hr

What You'll Do The Enrollment Associate is responsible for educating patients about their eligible ... Depending on the patient's eligibility, this role will also be collecting sensitive patient ...

Strive Health

Associate, Enrollment

Denver, CO · On-site

$22.12 - $25/hr

What You'll Do The Enrollment Associate is responsible for educating patients about their eligible ... Depending on the patient's eligibility, this role will also be collecting sensitive patient ...

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Associate Enrollment Eligibility Representative information

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$22

$32

How much do associate enrollment eligibility representative jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for associate enrollment eligibility representative in the United States is $22.59, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.72 per hour, depending on experience, location, and employer.

What is the difference between Associate Enrollment Eligibility Representative vs Customer Service Representative?

AspectAssociate Enrollment Eligibility RepresentativeCustomer Service Representative
CredentialsHigh school diploma; some roles may require certifications in healthcare or insuranceHigh school diploma or equivalent; customer service training often preferred
Work EnvironmentHealthcare or insurance offices, call centersRetail, call centers, service centers
Employer & IndustryHealth insurance companies, healthcare providersVarious industries including retail, telecom, finance
Job FocusVerifying eligibility, processing enrollments, assisting with benefitsHandling customer inquiries, resolving issues, providing product info

The Associate Enrollment Eligibility Representative primarily focuses on verifying insurance eligibility and processing enrollments within healthcare or insurance settings. In contrast, Customer Service Representatives handle a broader range of customer inquiries across various industries. While both roles require strong communication skills, the Associate Enrollment Eligibility Representative specializes in benefits and eligibility, often requiring healthcare-related knowledge and certifications.

What are the key skills and qualifications needed to thrive as an Associate Enrollment Eligibility Representative, and why are they important?

To thrive as an Associate Enrollment Eligibility Representative, you need strong attention to detail, knowledge of healthcare or insurance processes, and typically a high school diploma or equivalent. Familiarity with enrollment management software, claims processing systems, and Microsoft Office Suite is commonly required. Excellent communication, problem-solving, and customer service skills help you effectively assist clients and resolve eligibility issues. These skills ensure accurate enrollment processing, compliance with regulations, and a positive experience for clients and members.

What are some common challenges faced by Associate Enrollment Eligibility Representatives, and how can they be addressed?

Associate Enrollment Eligibility Representatives often encounter challenges such as managing high volumes of enrollment applications, ensuring data accuracy, and staying current with frequently changing health plan regulations. To address these challenges, it's essential to develop strong organizational skills, be detail-oriented, and proactively seek clarification when guidelines change. Many teams offer ongoing training and encourage collaboration, so taking advantage of available resources and open communication with colleagues can help overcome these hurdles effectively.

What does an Associate Enrollment Eligibility Representative do?

An Associate Enrollment Eligibility Representative is responsible for reviewing and processing enrollment applications for health insurance or other benefit programs. They verify applicants' information, ensure eligibility requirements are met, and resolve any discrepancies or issues that arise during the enrollment process. These professionals often communicate with applicants, employers, and insurance providers to obtain necessary documentation and provide updates on application status. Their work ensures that individuals receive the correct benefits coverage in a timely manner.
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Associate Enrollment and Eligibility Representative

Associate Enrollment and Eligibility Representative

UnitedHealth Group

Dallas, TX • On-site

$18 - $32/hr

Full-time

Retirement

Posted 2 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

188th of 890 rated healthcare providers

Job description

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.
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 7:00 am - 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime.
We offer 2 weeks of paid training. The hours during training will be 7:00 am to 5:00 pm PST, Monday - Friday. Training will be conducted virtually from your home.
Primary Responsibilities:
  • Researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) records.
  • Sending 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 Microsoft Windows and 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 7:00 am - 5:00 pm 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 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 hourly pay for this role will range from $18 - $32 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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