Hyderabad Telangana Eligibility verification Jobs – 44 Open Jobs Today

Senior Enrollment and Eligibility Representative
Optum —Hyderabad, Telangana
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Health insurance
US Lead Verification Specialist
Homes by Agarwal —Kondapur, Hyderabad, Telangana
- ₹23,000 - ₹25,000 a month
- Full-time
- English
- Bachelor's degree
- Data entry
Quick apply
Non Voice Process
Intigniz Solutions —Hyderabad, Telangana
- Typing
- Communication skills
QA Engineer (Healthcare Domain)
HelixBeat —Hyderabad, Telangana
- ₹7,00,000 - ₹10,00,000 a year
- Remote
- EMR systems
- APIs
- Agile
Quick apply
Medical Billing Executive
Karuyaki Solutions Pvt. Ltd. —Hyderabad, Telangana
- ₹4,00,000 a year
- Full-time
- Microsoft Office
- Bachelor's degree
- In-person
Quick apply
3d
Customer Success Associate
Vivifi India Finance Private Limited —Hyderabad, Telangana
- From ₹2,50,000 a year
- English
- Bachelor's degree
- Computer skills
- Health insurance
Quick apply
4d
Arogyasree Executive
Sindhu Hospitals —Serilingampally, Hyderabad, Telangana
- Full-time
- B.Sc
- Bachelor's degree
- Business Administration
Business Development Associate (BDA)
Adro Infotech —HITEC City, Hyderabad, Telangana
- ₹20,000 - ₹40,000 a month
- Full-time
- Walk-in
- English
- Microsoft Office
- Master's degree
- Commuter assistance
- Health insurance
Quick apply
Quality Check (QC)
BK Nexus Enterprises —Dundigal, Telangana
- ₹15,000 - ₹17,000 a month
- Full-time
- Quality control
- In-person
- Manufacturing
- Health insurance
- Flexible schedule
Quick apply
13d
Assembly Operator
BK Nexus Enterprises —Dundigal, Telangana
- ₹15,000 - ₹17,000 a month
- Full-time
- Forklift
- 12th Pass
- Assembly
- Health insurance
- Flexible schedule
Quick apply
13d
Audit and Accounts Assistant
Palivela Devdas and Associates —Hyderabad, Telangana
- ₹10,000.00 - ₹29,549.56 a month
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Master's degree
- Commuter assistance
Quick apply
9d
WFH _ Sales Intern - Freshers only - AP _TS
Vando Intech Pvt Ltd —Hyderabad, Telangana
- ₹5,000 a month
- Full-time
- Remote
- Sales
- English
- 12th Pass
- Health insurance
- Cell phone reimbursement
Quick apply
Embedded Intern
Nyasta Gramojvala solutions Pvt Ltd —Madhapur, Hyderabad, Telangana
- ₹2,500 - ₹4,000 a month
- C++
- Electrical experience
- Bachelor's degree
Quick apply
Director Delivery Management - RTSM Operations
Signant Health —Hyderabad, Telangana
- Full-time
- Project management
- Travel
- Agile
8d
HR Recruiter
Suraka Educational Society —Hyderabad, Telangana
- ₹15,000 - ₹30,000 a month
- Full-time
- Microsoft Excel
- Master's degree
- Bachelor's degree
Quick apply
3d
GST Executive
Praveen Lakshmi and CO Chartered Accountants —Hyderabad, Telangana
- ₹14,000 - ₹20,000 a month
- Full-time
- Microsoft Excel
- Finance
- Master's degree
Quick apply
9d
Admin Trainee
Lotus Microwave Technologies Pvt Ltd —Hyderabad, Telangana
- ₹13,000 - ₹15,000 a month
- Full-time
- Microsoft Word
- Microsoft Excel
- ERP systems
Quick apply
GST Executive
ISRAELITES SHOPPING NETWORK PVT LTD —Hyderabad, Telangana
- ₹15,000 - ₹25,000 a month
- Full-time
- Microsoft Excel
- Finance
- Master's degree
Quick apply
9d
Admission counsellor
Parul university —Hyderabad, Telangana
- ₹15,000 - ₹35,000 a month
- Full-time
- Bachelor's degree
- Data entry
- Recruiting
Quick apply
machine learning engineer
CRED —Hyderabad, Telangana
- ₹50,000 - ₹5,00,000 a year
- Full-time
- System design
- Java
- Machine learning

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Senior Enrollment and Eligibility Representative

Optum -
Hyderabad, Telangana

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

Microsoft Powerpoint
Microsoft Word
Benefits administration
Microsoft Excel
Microsoft Outlook
Customer service
Microsoft Office
Electrical discharge machining
Communication skills

Full 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.

The Senior Enrollment & Eligibility Representative (EDM) is responsible for managing complex enrollment, eligibility, and member data management activities within the US Healthcare environment. The role involves handling customer, broker, client, and internal stakeholder inquiries through email and voice channels while ensuring accuracy, compliance, and service excellence. The incumbent will independently resolve moderately complex issues, support escalations, provide guidance to team members, and contribute to process improvement initiatives.

Primary Responsibilities:

EDM Operations & Data Management
- Maintain and update member records accurately in internal systems
- Perform data verification, quality checks, and audits to ensure data integrity
- Track and document all customer interactions, resolutions, and actions taken
- Identify and report data inconsistencies, operational risks, and process gaps
- Review healthcare plans, benefits, policies, and SOPs to provide accurate resolutions
- Ensure timely completion of transactions within established Service Level Agreements (SLAs)
- Maintain quality scores and productivity targets as per business expectations
Customer & Stakeholder Support
- Handle customer, broker, employer group, and internal partner inquiries through email and voice support
- Respond professionally to member and client concerns while maintaining high customer satisfaction
- Follow up on unresolved cases and provide regular status updates
- Act as a point of contact for escalated or complex cases
Problem Solving & Decision Making
- Analyze complex issues and determine appropriate resolutions independently
- Apply business knowledge and established guidelines to support decision-making
- Proactively identify solutions for non-standard requests and process exceptions
- Collaborate with cross-functional teams to resolve complex operational challenges
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 regards 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:

2+ years of experience in Eligibility, Enrollment, EDM, Customer Service, or Healthcare Operations
Solid knowledge of US Healthcare, Eligibility, Enrollment, and Benefits Administration
Working knowledge of Microsoft Office Suite (Outlook, Excel, Word, PowerPoint)
Proficiency in email handling, customer correspondence, and voice support
Proven solid analytical and problem-solving capabilities
Proven ability to navigate multiple systems and applications simultaneously
Proven excellent verbal and written communication skills
Proven solid customer-centric mindset and active listening abilities
Proven high attention to detail and commitment to quality
Proven ability to work independently with minimal supervision
Proven solid ownership, accountability, and professional integrity
Proven ability to handle work pressure
Proven effective collaboration and teamwork skills
Proven ability to manage competing priorities and deadlines
Proven professional handling of escalations and challenging customer interactions

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.

Apply Now

Refine Your Search

eligibility verification jobs in hyderabad telangana

Senior Enrollment and Eligibility Representative

US Lead Verification Specialist

Non Voice Process

QA Engineer (Healthcare Domain)

Medical Billing Executive

Customer Success Associate

Arogyasree Executive

Business Development Associate (BDA)

Quality Check (QC)

Assembly Operator

Audit and Accounts Assistant

WFH _ Sales Intern - Freshers only - AP _TS

Embedded Intern

Director Delivery Management - RTSM Operations

HR Recruiter

GST Executive

Admin Trainee

GST Executive

Admission counsellor

machine learning engineer

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