Enrollment and Eligibility Representative - Remote
Company: UnitedHealth Group
Location: Hartford
Posted on: June 23, 2022
Job Description:
You'll enjoy the flexibility to telecommute* from anywhere
within the U.S. as you take on some tough challenges. 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 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.
*All Telecommuters will be required to adhere to UnitedHealth
Group's 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
neededYou'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) OR 10 years of equivalent
working experience
- 1+ years of experience in an office setting environment using
the telephone and computer as the primary instruments to perform
job duties
- Experience working with computers, including operating within
MS Windows
- Experience with MS Word (creating and editing documents) and MS
Excel (creating spreadsheets, basic formulas and functions)
- Ability to work any of our 8 hour shift schedules during normal
business hours of 8:00 am to 5:00 pm
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodation.
Telecommuting Requirements:
- 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
- Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet servicePreferred Qualifications:
- Reside within 50 miles of Kingston with the ability to commute
to the Kingston office for in-person meetings or in case of
power/internet outages
- Working knowledge of CDB & ISET
- Knowledge of the Empire PlanSoft Skills:
- Ability to navigate a computer while on the phone
- Ability to change tasks, staying focused and productive each
day though tasks may be repetitive
- Performs well in a teaming environment
- Strong Interpersonal SkillsUnitedHealth 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-militaryLearn how Teresa, a Senior
Quality Analyst, works with military veterans and ensures they
receive the best benefits and experience possible.
https://uhg.hr/vetCareers 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.SMDiversity 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: #RPO, #YELLOW
Keywords: UnitedHealth Group, Hartford , Enrollment and Eligibility Representative - Remote, Other , Hartford, Connecticut
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