Spanish bilingual and Hispanic jobs since 1997. Diversity job fairs since 2006. employers     login   |   register - post a job
Hispanic Diversity Recruitment - best jobs for hispanic, latino & bilingual (spanish & portuguese) jobseekers
HOME
    Log me in!   |   Site Map   |   Help   
 Senior Enrollment / Eligibility Representative - Bilingual (English / Spanish) - - OLDSMAR, Florida, United States

   
Job information
Posted by: UnitedHealth Group 
Hiring entity type: Insurance 
Work authorization: Not Specified for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Customer service & support
Insurance
 
Travel: Unspecified 
Accept candidates: from anywhere 
Languages: English - Fluent
Spanish - Fluent
 
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 851215 / Latpro-3714206 
Date posted: Oct-31-2019
State, Zip: Florida, 34677

Description

Welcome to 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.

Senior Enrollment / Eligibility Representative - Bilingual English / Spanish 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.

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:

  • Load new member or group data into the enrollment database & update the database with changes
  • Respond to member eligibility or group questions& verify enrollment status
  • Work with various types of member correspondence
  • Reconcile eligibility discrepancies, analyzing transactional data & submitting retroactive eligibility changes
  • Inventory control of member and group transactions
  • Work with clients and providers to arrange billing and confirm authorized treatment and benefits for members
  • Work with underwriters and brokers and do the full enrollment process from inquiries to quotes
  • Work frequently completed without established procedures
  • Work independently
  • May act as a resource for others
  • May coordinate others activities
  • Extensive work experience within own function
  • Work is frequently completed without established procedures
  • Work independently
  • May act as a resource for others
  • May coordinate others activities
You’ll 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.

Required Qualifications:

  • High School Diploma or GED (or higher)
  • Bilingual fluency – English & Spanish
  • 2+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • Experience with Microsoft Word and Microsoft Excel including data entry, sorting, and creating / modifying documents and spreadsheets
  • Moderate proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
  • 1+ years previous experience manually entering data in large databases
  • Previous experience working with members and providers in a healthcare insurance setting
  • Available to work 8:30 am - 5:00 pm EST Monday - Friday

Preferred Qualifications:

  • Bachelor's degree (or higher)
  • 2+ years experience with UHG systems: CES, TOPS and / or UNET
  • 2+ years experience with UMR systems: CPS, BWAA, OnBase, Calltrak
  • 2+ years experience with medical benefits, enrollment and eligibility, and / or authorization of services
  • Experience analyzing and researching data
  • Experience with Microsoft Excel including formulas, data comparisons, and V lookups

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

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 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 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 do your life’s best work.

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.

Keywords: UnitedHealth Group, UnitedHealth Care, Health care, Eligibility Representative, Enrollment Representative, Bilingual, Spanish, Member support, provider support, clerical, office support



Requirements

Please see job description.

 

UnitedHealth Group requires you to fill in their on-line form which will open in a different window.

Enter your email address and click 'Apply':
       Apply
  Prefer not to enter your email?