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Hours Full-time, Part-time
Location Las Vegas, NV
Las Vegas, Nevada

About this job

Position Description:



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.



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.


Positions in this function are 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.



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

  • 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

  • Maintain a current knowledge of Federal and State regulations.

  • Meet department quality audits. Maintain and prioritize workload to ensure
    individual and departmental standards are consistently met or exceeded.

  • Generate member letters within guidelines of plan and federal regulations.

Requirements



Requirements:


  • An education level of at least a
    high school diploma or GED 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, 2+ years preferred
  • 1+ years of professional medical
    insurance experience required
  • Some knowledge of Medicaid
    enrollment and eligibility preferred
  • Strong computer skills, including
    working knowledge of MS Windows and strong mouse required, and preferred 45 wpm
    keyboarding skills




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
.







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.