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  • Jeffersonville, IN

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Enrollment / Eligibility Representative - Jeffersonville , IN

UnitedHealth Group • Jeffersonville, IN

Posted 9 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
Health Care

Job Competition

7

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Job 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.(sm) 

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 transaction




Required Qualifications: 
  • 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • An education level of at least a high school diploma or GED OR 10+ years of equivalent working experience
  • Available to work 40 hours per week within the operating hours of the site
  • Strong computer skills, including working knowledge of MS Windows and strong mouse and keyboarding skills 
Preferred Qualifications:
  • Experience with Patient Foundation, co - pay assistant programs
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
Soft Skills
  • Prior stable work experience

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is car ing. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life’s best work.SM

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and 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.

Key words: Healthcare, health care, Managed Care, Enrollment, Eligibility, Medicare, Medicaid, Customer Service, Claims

Job ID: 2551_794929
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