Part - Time Enrollment / Eligibility Representative

UnitedHealth Group - Melville, NY3.6

Part-time
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Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.SM

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 and / or health insurance plan experience
1+ year of face - to - face customer service experience
1+ 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 (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 20 hours per week, Monday through Friday, during the hours of 2 PM to 6 PM
Available to complete two - week training - Monday through Friday, 8 AM to 5 PM
Must be comfortable traveling 25% of the time for training and meetings

Preferred Qualifications:
CAC certificate or the ability to obtain one through company provided training within 1 - 3 months from date of hire (CAC training is in NYC, additional Medicaid training in Brooklyn)
1+ years of financial experience in a medical setting
Bilingual any other language
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, Manhasset