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Senior Enrollment Eligibility Representative - New York, NY
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | New York, NY New York, New York |
About this job
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.
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.
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
- Responsible for preparing, 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 member eligibility or group questions & verify enrollment status.
- Positions may work with various types of member correspondence.
- Positions may also be responsible for reconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes.
- Positions may also be responsible for inventory control of member and group transactions.
- Moderate work experience within own function.
- Some work is completed without established procedures.
- Basic tasks are completed without review by others.
- Supervision/guidance is required for higher level tasks.
Requirements
- High school or GED education or 10 years equivalent experience
- 1+ year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
- 2+ year Call Center Customer Service experience
- Intermediate skills in Word, Excel, and PowerPoint
- 1 year of experience in an office setting environment
- Understanding of Medicaid and Medicare regulations
- 2+ years experience in an insurance company
- Bilingual Strongly Preferred in this order English, Chinese, Cantonese, Mandarin Korean, Spanish, Russian and Hindi
- Understanding of Medicaid and Medicare regulations strongly preferred
- 1+ year working with the chronically ill, elderly, disabled, and or frail population is a must - Compassion
- Organization and interpersonal skills
Physical Requirements 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
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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