Welcome to one of the toughest and mostfulfilling ways to help people, including yourself. We offer the latest tools,most intensive training program in the industry and nearly limitlessopportunities for advancement. Join us and start doing your life’s best work.
Senior Enrollment / Eligibility Representative – Bilingual English / Spanish are responsible forpreparing, processing and maintaining new member or group enrollments. Positions may load new member or group data into the enrollment database &update the database with changes. Positions may also respond to membereligibility or group questions & verify enrollment status. Positions maywork with various types of member correspondence. Positions may also beresponsible for reconciling eligibility discrepancies, analyzing transactionaldata & submitting retroactive eligibility changes. Positions may also beresponsible for inventory control of member and group transactions.
Ifit sounds too good to be true, consider this:
Throughour family of businesses and a lot of inspired individuals, we’re building ahigh-performance structure that works better for more people in more ways.
PrimaryResponsibilities:
- Load new member or group data into the enrollment database & update the database with changes
- Respond to member eligibility or group questions& verify enrollment status
- Work with various types of member correspondence
- Reconcile eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes
- Inventory control of member and group transactions
- Work with clients and providers to arrange billing and confirm authorized treatment and benefits for members
- Work with underwriters and brokers and do the full enrollment process from inquiries to quotes
- Work frequently completed without established procedures
- Work independently
- May act as a resource for others
- May coordinate others activities
- Extensive work experience within own function
- Work is frequently completed without established procedures
- Work independently
- May act as a resource for others
- May coordinate others activities
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.
RequiredQualifications:
- High School Diploma or GED (or higher)
- Bilingual fluency – English & Spanish
- 2+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- Experience with Microsoft Word and Microsoft Excel including data entry, sorting, and creating / modifying documents and spreadsheets
- Moderate proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
- 1+ years previous experience manually entering data in large databases
- Previous experience working with members and providers in a healthcare insurance setting
- Available to work 8:30 am – 5:00 pm EST Monday – Friday
PreferredQualifications:
- Bachelor’s degree (or higher)
- 2+ years experience with UHG systems: CES, TOPS and / or UNET
- 2+ years experience with UMR systems: CPS, BWAA, OnBase, Calltrak
- 2+ years experience with medical benefits, enrollment and eligibility, and / or authorization of services
- Experience analyzing and researching data
- Experience with Microsoft Excel including formulas, data comparisons, and V lookups
PhysicalRequirements 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
Careerswith UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 17organization that’s serving more than 85 million people already and buildingthe industry’s singular reputation for bold ideas and impeccable execution.Now, add your energy, your passion for excellence, your near-obsession withdriving change for the better. Get the picture? UnitedHealthcare is servingemployers and individuals, states and communities, Military families andVeterans wherever they’re found across the globe. We bring them the resources ofan industry leader and a commitment to improve their lives that’s second tonone. This is no small opportunity. It’s where you can do your life’s bestwork.
Diversitycreates a healthier atmosphere: UnitedHealth Group is an Equal EmploymentOpportunity / Affirmative Action employer and all qualified applicants willreceive consideration for employment without regard to race, color, religion,sex, age, national origin, protected veteran status, disability status, sexualorientation, gender identity or _expression, marital status, geneticinformation, or any other characteristic protected by law.
UnitedHealthGroupis a drug – free workplace. Candidates are required to pass a drug test beforebeginning employment.
Keywords:UnitedHealth Group, UnitedHealth Care, Health care, Eligibility Representative,Enrollment Representative, Bilingual, Spanish, Member support, providersupport, clerical, office support
Scott Smith 