Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.If it sounds too good to be true, consider this: Through our family of businesses and a lot of inspired individuals, we're building a high-performance structure that works better for more people in more ways. Positions in this function are responsible for preparing, processing and maintaining new member or group enrollments. Positions may load new member or group data into the enrollment database and update the database with changes. Positions may also respond to member eligibility or group questions and verify enrollment status. Positions may work with various types of member correspondence. Positions may also be responsible for reconciling eligibility discrepancies, analyzing transactional data and submitting retroactive eligibility changes. Positions may also be responsible for inventory control of member and group transactions. Employees in jobs labeled with SCA must support a Government Service Contract Act (SCA) Agreement. 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.Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product is required.Limited work experience.Works on simple tasks using established procedures.Depends on others for guidance.Work is typically reviewed by others.
Required Qualifications:High School Diploma / GED6+ months of experience in an open call center setting using the telephone and computer as the primary instruments to perform job duties Experience with Windows PC applications, which includes the ability to learn new and complex computer system applications Previous healthcare insurance industry experiencePreferred Requirements:Previous Enrollment / Eligibility experience This position may require additional access approvals inclusive of extended background verifications post hire.Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in healthcare. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our Healthcare system. Ready? It's time to do your life's best work. 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. Keywords: UHG, Enrollment/Eligibility Representative
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.