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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



Approximate Salary:

Not Specified

Position Type:

Full Time

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Enrollment / Eligibility Representative - Lexington, KY

UHG - Lexington, Kentucky

Posted: 11/19/2018

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.

This position requires technical background in AS400 systems and experience with billing and customer service skills. Requires a lot of data entry, working with numbers and worksheets, identifying and working through specific billing discrepancies, written correspondence, in addition to working in a workgroup call queue for customer service inquiries. Experience working with ERISA compliant benefit funds is a plus.

Primary Responsibilities:
  • Prepare, process, and maintain new member or group enrollments, beneficiary forms, and eligibility calculations
  • Maintain hours and contributions in database from reports from employers and complete monthly reconciliation of data reported with accounts receivable on a monthly basis for eligibility calculations for reporting to insurance carriers for benefits
  • Attention to detail and math skills are a must to ensure accuracy for data being used for eligibility and pension calculations
  • Answer incoming calls from customers and listen actively to identify the type of assistance the customer needs while documenting required information in computer
  • Work with various types of member correspondence and emails and respond to member or group inquiries and questions and verify enrollment and eligibility status
  • Reconcile reports, eligibility, and payment discrepancies, analyze transactional data, and submit retroactive eligibility changes
  • Perform basic clerical functions with proficient PC and Excel Skills
  • Initiate and assist with developments/changes to increase or change quality and productivity
  • Key data for weekly spousal premium reimbursement from payroll check stubs or documents from employer in order to track the amount of premiums by coverage, by payroll period, and by year to ensure correct amount being reimbursed. 

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 2+ years of experience in an office call center setting using the telephone and computer as the primary instruments for analyzing and solving customer problems and inquiries
  • 2+ years of experience with Windows PC applications including the ability to learn new and complex computer system applications
  • 2+ years of experience working Excel (sorting and organizing a spreadsheet, VLOOKUP, creating pivot tables, and manipulating files with large data)
  • 2+ years of experience working with Adobe Acrobat Pro (extracting pages, highlighting, search, and working with applications within adobe)
  • 2+ years of experience working with Word (basic documentation creation)
  • 2+ years of experience working with posting deposits / payments and reconciling with accounts receivable
Preferred Qualifications:
  • Previous healthcare insurance enrollment / eligibility experience
  • Previous experience working with ERISA Compliant Benefit Funds
  • AS400 experience
  • Associate’s Degree (or higher) in Business or Accounting
Soft Skills:
  • Detail Oriented, Quick Learner, Team Oriented
  • Good written and verbal communication skills
  • Flexible
  • Self-Motivated
This position may require additional access approvals inclusive of extended background verification post hire.
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: UHG, UHC, Enrollment, Eligibility, Lexington, KY

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