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Enrollment / Eligibility Representative - Lexington, KY

06/12/2018Call Center
Job Location:
Lexington, KY
Metro Area:
KY - Lexington
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
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 worksheets, 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 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


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 to perform job duties 1+ years of previous billing experience Experience with Windows PC applications, Microsoft Word (create, update, format documents), Microsoft Excel (create, update, format worksheets), and Microsoft Outlook (create, email, appointment invites, folders)Preferred Qualifications: Previous healthcare insurance enrollment / eligibility experience Previous experience working with ERISA Compliant Benefit Funds AS400 experience Microsoft Excel experience with vlookup, formulas & pivot tablesCareers 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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