28 days old

Enrollment Eligibility Representative - Eau Claire, WI - 937644

Eau Claire, WI 54703
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  • Job Code
    937644

This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future.

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Working in Operations atUnitedHealth Groupis 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 doingyour lifes best work.SM

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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.

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This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2725 Mall Drive, Eau Claire, WI.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Primary Responsibilities:

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  • Researching errors by comparing enrollment error reports against system information along with CMS (Center for Medicare and Medicaid Services) records
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  • Sending correspondence to members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections
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  • Reconciling reports
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  • Performing basic clerical functions with proficient PC skills
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  • Analytical and Researching techniques to trend or quantify projects
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  • Initiate and assist with developments/changes to increase or change quality and productivity
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  • Preparing, processing, and maintaining new member or group enrollments
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  • Responding to member eligibility or group questions & verify enrollment status
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  • Working with various types of member correspondence
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  • Reconciling eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes
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  • Inventory control of member and group transactions dashboard and package development to team members and management as needed
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Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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Required Qualifications:

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  • High School Diploma or GED (or higher)
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  • 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
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  • 1+ years of Excel experience (creating, editing, and saving spreadsheets)
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  • Strong computer skills, including working knowledge of Microsoft Windows and strong mouse and keyboarding skills
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  • If you need to enter a work site for any reason, you will berequiredto screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Telecommuting Requirements:

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  • You will be asked to perform this role in an office setting or other company location, however, may be required to work from home temporarily due to space limitations
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  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
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  • Ability to keep all company sensitive documents secure (if applicable)
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  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

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You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

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Learn how Teresa, a Senior Quality Analyst,works withmilitary veterans and ensures they receive the best benefits and experience possible.https://uhg.hr/vet

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Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5organization 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 doyour lifes best work.SM

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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.

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UnitedHealth Groupis a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Keywords: claims, data entery, coding, medical coding, customer service, UnitedHealth Group, Optum, OptumRx, call center, UnitedHealthcare, health care, healthcare, office, phone support, training class, advocate,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #rpo

Posted: 2021-06-30 Expires: 2021-07-30

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Enrollment Eligibility Representative - Eau Claire, WI - 937644

UnitedHealth Group
Eau Claire, WI 54703

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