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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Enroll and Empl Contract Install

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Employer Installation Representative - Las Vegas, NV

UHG - Las Vegas, Nevada

Posted: 11/12/2018

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.
 
The Employer Installation Representative will be responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. This position is also responsible for overall employer contract loading using various databases and / or source documents.

Primary Responsibilities:
  • Auditing contract loads for adherence to quality measures and reporting standards
  • Researching errors by comparing Account Management documentation against multiple internal systems
  • Analytical and Researching techniques to trend or quantify projects
  • Preparing, processing, and maintaining new group installation and renewals
  • Responding to member eligibility or group questions and verify enrollment status
  • Reconciling reports and group set up discrepancies, as well as analyzing transactional data and submitting retroactive eligibility changes
  • Research and respond to all claims processing inquiries from Client Management, Clinical, and other internal departments
  • Perform claim testing to ensure accurate claim adjudication
  • Conduct installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education material
  • Overall employer contract loading using various databases and / or source documents
  • May research installation issues and develop customer specific resolutions which may include auditing contract loads for adherence to quality measures and reporting standards
  • Utilize Facets claims processing system
  • Perform other duties as assigned

Required Qualifications:

  • High School Diploma / GED or higher
  • 1+ years of experience in a healthcare insurance environment using the telephone and computer as the primary instruments to perform job duties
  • 1+ years of Facets experience

Physical Requirements and Work Environment:

  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, and long periods working at a computer
  • Service center environment with moderate noise level due to Representatives talking, computers, printers and floor activity

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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: Employee; Installation; CSR; Customer Service


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