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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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