Enrollment Eligibility Representative - San Antonio, TX - Full-time / Part-time

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.

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.

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
• 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
• 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.

• High school diploma or GED required
• 6+ months
  experience with Medicare 
• Knowledge and
  expertise in accurate data entry 
• Able to type 40
  words/ minute minimum 

Assets:

• 6+ months experience
  in managed care setting
• Experience with Medicare Advantage or Part D 
• College Degree (bachelor's degree)
  

Soft Skill:

• Attention to
  detail

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

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do 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.