UHG

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

Enrollment / Eligibility Representative - New Hyde Park, NY

UHG - NEW HYDE PARK, New York

Posted: 11/9/2018

Healthcare isn’t just changing. It’s growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that’s what fueled these exciting new opportunities. 

Who are we? Optum360. We’re a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide. 

If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do 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. 

Preparing, processing and maintaining new member or group enrollments. Positions may load new member or group data into the enrollment database and update the database with changes. Positions may also respond to member eligibility or group questions and verify enrollment status. Positions may work with various types of member correspondence. Positions may also be responsible for reconciling eligibility discrepancies, analyzing transactional data and submitting retroactive eligibility changes. Positions may also be responsible for inventory control of member and group transactions. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.


Primary Responsibilities:

Assist patient / family in completing applications for government sponsored programs / Financial Assistance. Assess patient’s eligibility for government sponsored programs / Financial Assistance. Contact patient / family and conduct interviews for the purpose of assessing eligibility. Verify patient’s information to complete applications. Check patient's account for previous balances and advise patient of all financial obligations. Inform patient of collection policy. Notify appropriate areas regarding eligibility status and determination. Coordinate with various agencies and individuals to resolve individual cases. Answer the telephone and maintain files. Accumulate data for performance reports. Inform Supervisor of activities, issues and problem cases. Basic tasks are completed without review by others. Supervision / guidance is required for higher level tasks. Perform related duties as required.

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 1+ years of Medicaid experience
  • 3+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • CAC certificate or the ability to obtain one through company provided training within 1 - 3 months from date of hire
  • Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)
  • Available to work 37.5 hours per week with the flexibility to adjust daily schedule, and work over - time and / or weekends, as needed
Preferred Qualifications:
  • 1+ years of financial experience in a medical setting
  • Bilingual any other language
  • Customer service experience
  • Northwell experience and / or knowledge
Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to 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: enrollment, claims, medical claims, healthcare claims, insurance claims, insurance contracts, office, UnitedHealth Group, Optum, training class, customer service representative, customer service, CSR, Data Entry, phone support, Medicaid; CAC Certificate

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