Enrollment Eligibility Representative - Lexington, KY

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

Clinical

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

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. SM

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.

This position requires technical background in AS400 systems and experience with billing and customer service skills. Requires a lot of data entry, working with numbers and worksheets, identifying and working through specific billing discrepancies, written correspondence, in addition to working in a workgroup call queue for customer service inquiries. Experience working with ERISA compliant benefit funds is a plus.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at KY001 - KY001 - LEXINGTON - 333 WEST VINE ST, KY.

Primary Responsibilities:
  • Prepare, process, and maintain new member or group enrollments, beneficiary forms, and eligibility calculations
  • Maintain hours and contributions in database from reports from employers and complete monthly reconciliation of data reported with accounts receivable on a monthly basis for eligibility calculations for reporting to insurance carriers for benefits
  • Attention to detail and math skills are a must to ensure accuracy for data being used for eligibility and pension calculations
  • Answer incoming calls from customers and listen actively to identify the type of assistance the customer needs while documenting required information in computer
  • Work with various types of member correspondence and emails and respond to member or group inquiries and questions and verify enrollment and eligibility status
  • Reconcile reports, eligibility, and payment discrepancies, analyze transactional data, and submit retroactive eligibility changes
  • Perform basic clerical functions with proficient PC and Excel Skills
  • Initiate and assist with developments/changes to increase or change quality and productivity

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)
  • 1+ years of experience in an office call center setting using the telephone and computer as the primary instruments for analyzing and solving customer problems and inquiries
  • 1+ years of experience working with billing reconciliation, posting deposits, and accounts receivable
  • 1+ years of experience with Windows PC applications including the ability to learn new and complex computer system applications
  • 1+ years of experience using Microsoft Excel (ability to create, edit, save, send, sort, filter, enter data, and use basic formulas in spreadsheets)
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

Preferred Qualifications:
  • Associate's Degree (or higher) in Business or Accounting
  • Experience working with healthcare insurance enrollment / eligibility
  • Experience working with disability claims
  • Experience working with medical reimbursement cafeteria plans
  • Experience working with ERISA Compliant Benefit Funds
  • Experience with pension plan administration and state and federal tax filings
  • Experience using AS400

Soft Skills:
  • Detail Oriented, Quick Learner, Team Oriented
  • Good written and verbal communication skills
  • Flexible
  • Self-Motivated

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. SM

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: UnitedHealth Group, UnitedHealthcare, Optum, health care, office, phone support, customer service, billing, training class, now hiring, jobs, careers, hiring immediately, #RPO

Advertisement

2021667