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.

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
• During peak periods, position may require overtime.
• Good communication skills.
• 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:

• High school education or equivalent experience
• Intermediate to Advanced Excel proficiency is required
• 6+ months of telephonic customer service experience is required
• Ability to thrive in a team oriented environment is required

Assets:

• Access proficiency is preferred
• Healthcare experience is a plus
• Undergraduate degree is highly preferred
  

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
  

UnitedHealthcare Employer & Individual is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

When you work with UnitedHealthcare Employer & Individual, what you do matters. It's that simple and it's that challenging.

In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

Regardless of your role at UnitedHealthcare Employer & Individual, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.