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Senior Enrollment and Eligibility Representative - Cypress, CA
| Hours | Full-time, Part-time |
|---|---|
| Location | Cypress, CA Cypress, California |
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.
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
implementing new customers onto EDI and maintaining a book of business to
process ongoing maintenance EDI files. Positions will apply group data into the
enrollment platform database & update the tracking database with file
activity. Positions will also respond to EDI group and internal customer
questions and concerns. Positions will work with heavy email correspondence and
phone inquiries. Positions will also be responsible for researching eligibility
discrepancies, analyzing transactional data submitting eligibility changes.
Positions will also be responsible for inventory control of member and group
transactions that come in on the customer EDI file.
Primary Responsibilities:
- Load new group
member data into the enrollment databases & update the databases with
changes via an electronic file - Respond to group
eligibility questions & verify enrollment status - Reconcile EDI
group eligibility discrepancies, analyzing transactional data - Inventory
control of member and group transactions - Work with Sales,
IMO, Employer groups, TPAs and brokers - Work
independently - May act as a
resource for others - May coordinate
others activities - Responsible for
specific Employer group book of business
Requirements
Requirements:
- An education
level of at least a high school diploma or GED is required - 2+ years of
experience in an office setting environment using the telephone and
computer as the primary instruments to perform job duties is required, - Familiarity with
Windows PC applications, which includes the ability to learn new and
complex computer system is required - Intermediate
level MS Excel knowledge is required - Working Hours 8am - 5pm Monday to Friday. Must be
willing to work overtime as needed
Assets:
- Experience Reading and Constructing flat files
- UNET/NICE/IA
- Previous Healthcare Insurance experience
- Previous
experience working with Enrollment/Eligibility software is preferred - Experience with
data analysis is preferred - College Degree
Soft
Skills:
- Ability to
multi-task, this includes ability to understand multiple products and
multiple levels of benefits within each product - Ability to
remain focused and productive each day though tasks may be repetitive+ - Must be able to
work well in a team environment - Limited PTO during open enrollment seasons
- Ability to set up and lead customer calls (internal and
external) - Excellent Outlook email skills and etiquette
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
wherever 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, 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.
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