Enrollment Eligibility Representative - Duluth, MN

Unitedhealth Group Duluth , MN 55805

Posted 1 week ago

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.

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 CST). It may be necessary, given the business need, to work occasional overtime. Our office is located at 4316 RICE LAKE ROAD, Duluth, MN 55811.

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 dashboard and package development to team members and management as needed

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 / GED (or higher) OR 10+ years of equivalent working experience

  • Strong computer skills, including working knowledge of Microsoft Windows and strong mouse and keyboarding skills

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

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

Join us today and we can provide you with meaningful challenge that can result in a strong sense of impact and fulfillment. It's truly an opportunity to do your life's best work.SM

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 10 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.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.

Keywords: claims, data entry, coding, medical coding, customer service, UnitedHealth Group, Optum, OptumRx, call center, UnitedHealthcare, health care, healthcare, office, phone support, training class, RPO, advocate, Bloomington , Eden Prairie, Minneapolis, Minnetonka, MN, hiring immediately, #rpo

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Enrollment Eligibility Representative - Duluth, MN

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