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Hours Full-time, Part-time
Location Duluth, MN
Duluth, Minnesota

About this job



Position Description:


You've been seeking a new challenge, and the chance to unleash your talents and energy in new, more impactful ways, ways that make a difference, and maybe even change the world. You've got big plans; always looking to innovate and improve your performance. But you also plan on succeeding by doing things right, by building relationships with integrity and compassion. UnitedHealth Group is a Fortune 14 global leader. But really, we're something much greater than that. We're more than 100,000 individuals, unified in one incredible mission, helping people live healthier lives.


 


Transforming health care and millions of lives as a result, is no easy task. It takes time, hard work, and even the willingness to transform the way we work as a company and as individuals  to keep a greater focus on our goals and how we achieve them. And yet, every single day, with the help of people like you, we're making it happen. Here, you'll find yourself working in the company of people who are constantly growing and evolving. You'll see true opportunities to move health care forward, and to help us create a system that works better, in more ways for more people. You can be part of the greater future we're building.


 


UnitedHealth Group is like no place you've ever seen or worked before. There's real energy and excitement here about what we're doing and where we're headed. And you can be sure we'll succeed, because while our passion and commitment may be uncommon to most, they are shared from top to bottom, across our entire organization.


 


And just like you, we're driven by values, a set of fundamental principles that are guiding our way forward:


 


Integrity: Honor commitments. Never compromise ethics.
Compassion: Walk in the shoes of people we serve, and those with whom we work.
Relationships: Build trust through collaboration.
Innovation: Invent the future, learn from the past.
Performance: Demonstrate excellence, in everything we do
 
With these values as our foundation, and through the talents, drive and compassion of people like you; UnitedHealth Group will transform health care. And as we continue our evolution as a company, you'll have the opportunity to do 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.We are in search of a detail-oriented individual with strong analytical skills to join the Community and State Team as a Coordination of Benefits Processor.  This is a great opportunity for the right person to expand their skills and gain Community and State Medicaid operations experience.


 


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

Requirements

Requirements:

  • High School Diploma/ GED 
  • Available to work 40 hours per week within the operating hours of the site, 8:00AM - 4:30PM M-F
  • Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications 
  • 1+ years of customer service experience, ideally using the telephone and computer as the primary instruments to perform the job duties as required
  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product  

Assets:



  • Previous Healthcare insurance industry experience
  • Previous Enrollment/ Eligibility experience preferred
  • Medicaid Knowledge
  • Familiarity with the Facets Platform
  • Macro Express Experience

Soft Skills:

  • Ability to remain focused and productive each day though tasks may be repetitive

Careers with UnitedHealthcare
. Let's talk about opportunity. Start with a Fortune 14 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, 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.