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Enrollment/Eligibility Representative - New York, NY - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | New York, NY New York, New York |
About this job
Position Description:
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
Requirements:
Physical Requirements and Work Environment:
- 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 - Intermediate skills in Word, Excel, and PowerPoint
- 1+ year Managed Long Term Care
- 2+ year Call Center Customer Service experience
- 2+ years Experience in an insurance company
- Organization and interpersonal skills
- Bilingual Strongly Preferred in this order English, Chinese and, Spanish
- 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
- Associates degree
- Organization and interpersonal skills
- 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
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, 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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