UnitedHealth Group

Enrollment Eligibility Representative - Eau Claire, WI

Posted on: 4 Jun 2021

Eau Claire, WI

Job Description

This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future.

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 lifes best work.SM

Working in Operations atUnitedHealth Groupis 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 doingyour lifes best work.SM

If it sounds too good to be true, consider thisThrough our family of businesses and a lot of inspired individuals, were building a high-performance structure that works better for more people in more ways.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am – 5:00pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2725 Mall Drive, Eau Claire, WI.
* All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.
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 dashboard and package development to team members and management as needed

Youll 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 or GED (or higher)
* 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 Excel experience (creating, editing, and saving spreadsheets)
* Strong computer skills, including working knowledge of Microsoft Windows and strong mouse and keyboarding skills
* Required to have a dedicated work area established that is separated from other living areas and provides information privacy
* Ability to keep all company sensitive documents secure (if applicable)
* Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
* You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations
* If you need to enter a work site for any reason, you will berequiredto screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

UnitedHealth Group is an essential business.The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90 of our non-clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities athttps://www.unitedhealthgroup.com/newsroom/addressing-covid.html
Careers with UnitedHealthcare. Lets talk about opportunity. Start with a Fortune 10 organization thats serving more than 85 million people already and building the industrys singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near – obsession with driving change for the better. Get the picture UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever theyre found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives thats second to none. This is no small opportunity. Its where you can doyour lifes best work.SM

Diversity creates a healthier atmosphereUnitedHealth 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 Groupis a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Keywordsclaims, data entery, coding, medical coding, customer service, UnitedHealth Group, Optum, OptumRx, call center, UnitedHealthcare, health care, healthcare, office, phone support, training class, advocate,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #rpo

Requisition Number:926326

Business Segment:UHC Benefit Ops – Gov't Ops

Employee Status:Regular

Job Level:Individual Contributor

Travel:No

Country:US

Overtime Status:Non-exempt

Schedule:Full-time

Shift:Day Job

Telecommuter Position:No

UnitedHealth Group

Hopkins, MN

UnitedHealth Group Incorporated operates as a diversified health care company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers, small businesses, and individuals; health and well-being services to individuals age 50 and older, addressing their needs for preventive and acute health care services, as well as services dealing with chronic disease and other specialized issues for older individuals; and Medicaid plans, Children’s Health Insurance Program, and health care programs; and health and dental benefits.

The OptumHealth segment provides access to networks of care provider specialists, health management services, care delivery, consumer engagement, and financial services. This segment serves individuals through programs offered by employers, payers, government entities, and directly with the care delivery systems.

The OptumInsight segment offers software and information products, advisory consulting arrangements, and services outsourcing contracts to hospital systems, physicians, health plans, governments, life sciences companies, and other organizations. The OptumRx segment provides pharmacy care services and programs, including retail network contracting, home delivery, specialty and compounding pharmacy, and purchasing and clinical, as well as develops programs in areas, such as step therapy, formulary management, drug adherence, and disease/drug therapy management. UnitedHealth Group Incorporated was founded in 1974 and is based in Minnetonka, Minnesota.

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