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Member Enrollment Representative Jobs (NOW HIRING)

Provider Enrollment Representative Optum is a global organization that delivers care, aided by ... Perform as key team member on project teams spanning more than own function * Ability to submit 10 ...

Provider Enrollment Representative Optum is a global organization that delivers care, aided by ... Perform as key team member on project teams spanning more than own function * Ability to submit 10 ...

Senior Provider Enrollment Representative Optum is a global organization that delivers care, aided ... Perform as key team member on project teams spanning more than own function * Ability to submit 10 ...

Senior Provider Enrollment Representative Optum is a global organization that delivers care, aided ... Perform as key team member on project teams spanning more than own function * Ability to submit 10 ...

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Member Enrollment Representative information

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$12

$22

$32

How much do member enrollment representative jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for member enrollment 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 does a member enrollment representative do?

A Member Enrollment Representative is responsible for assisting individuals with the process of enrolling in membership programs, typically for health plans, insurance, or other organizational memberships. They guide prospective members through application forms, eligibility requirements, and benefits information. These representatives also address questions, troubleshoot enrollment issues, and ensure accurate data entry. Their role is crucial for providing a positive first impression and ensuring smooth onboarding for new members.

What skills and qualifications are needed to thrive as a member enrollment representative?

To thrive as a Member Enrollment Representative, you need strong customer service abilities, attention to detail, and a high school diploma or equivalent. Familiarity with enrollment platforms, CRM systems, and basic office software is typically required, and some positions may prefer knowledge of healthcare or insurance regulations. Outstanding communication, problem-solving skills, and patience help you build rapport with members and address their enrollment needs effectively. These skills and qualities are essential to ensure accurate enrollment, member satisfaction, and compliance with organizational and regulatory standards.

What are common challenges faced by member enrollment representatives and how can they be addressed?

Member Enrollment Representatives often face challenges such as managing high call volumes during open enrollment periods, addressing complex eligibility questions, and ensuring all documentation is accurately completed. To overcome these, it's important to develop strong organizational and communication skills, stay up-to-date on plan details and regulatory changes, and utilize available technology for tracking and follow-up. Working closely with team members and supervisors can also help resolve unique cases efficiently, ensuring a smooth experience for new members.

What is the difference between Member Enrollment Representative vs Customer Service Representative?

AspectMember Enrollment RepresentativeCustomer Service Representative
Required CredentialsHigh school diploma; some roles may prefer experience in insurance or healthcareHigh school diploma; customer service experience often preferred
Work EnvironmentHealthcare or insurance offices, call centersRetail, call centers, service desks
Employer & Industry UsageHealth insurance companies, healthcare providersVarious industries including retail, telecom, finance
Common Search & Comparison IntentUnderstanding enrollment processes, insurance benefitsHandling customer inquiries, issue resolution

While both roles involve interacting with customers, the Member Enrollment Representative primarily focuses on assisting members with enrollment, benefits, and insurance paperwork within healthcare or insurance settings. In contrast, Customer Service Representatives handle a broader range of customer inquiries across various industries. The roles share similar credentials but differ in industry focus and daily responsibilities.

More about Member Enrollment Representative jobs

What job categories do people searching Member Enrollment Representative jobs look for?

The top searched job categories for Member Enrollment Representative jobs are:

Infographic showing various Member Enrollment Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $46,986 per year, or $22.6 per hour.

Provider Enrollment | Prairie, |

Reliant Medical Group

Eden Prairie, MN • On-site

$17.98 - $32.12/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago


Reliant Medical Group rating

7.3

Company rating: 7.3 out of 10

Based on 26 frontline employees who took The Breakroom Quiz


Job description

Provider Enrollment Representative

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.

Optum has an immediate opening for a Provider Enrollment Representative. You will be responsible for enrolling behavioral health providers with appropriate payers for associated entities.

Schedule: Mon - Fri, 8:00AM - 5:00PM any time zone that you reside within

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

Primary Responsibilities:
  • Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system
  • Conduct audits and provide feedback to reduce errors and improve processes and performance
  • Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others
  • Solve complex problems on own; proactively identify new solutions to problems
  • Act as a facilitator to resolve conflicts on team
  • Perform as key team member on project teams spanning more than own function
  • Ability to submit 10 to 15 applications daily
  • Get ready for some significant challenge. This is a performance driven, fast paced environment where accuracy is key. You'll be helping us confirm to very exacting standards such as NCQA, CMS and state credentialing requirements
  • Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at: http://uhg.hr/uhgbenefits

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 higher)
  • 2+ years of experience in end-to-end provider payer enrollment. Including initiating, submitting, following up and receiving approvals of at least 10-15 behavioral health provider payer enrollment applications to include government and commercial payers
  • Intermediate level of proficiency with MS Excel and Word
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
  • Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
  • Knowledge of provider enrollment in at least 5 different states
Soft Skills:
  • Ability to work independently and as a team, and maintain good judgment and accountability
  • Ability to multi-task and prioritize tasks to meet all deadlines
  • Ability to work well under pressure in a fast-paced environment
  • Demonstrated ability to work well with health care providers and team members
  • Strong organizational and time management skills
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

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 $17.98 to $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.

#RPO #GREEN


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