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Associate Enrollment / Eligibility Representative - Eau Claire, WI

UnitedHealth Group

Eau Claire, WI
Job Code:
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Job Details

Associate Enrollment / Eligibility Representative - Eau Claire, WI(Job Number:727897)

Position Description:
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.
If you're a problem solver, then joining our Enrollment and Eligibility team may be a great fit.  Training classes start soon, so apply now.
Your problem-solving skills can be vitally important in this role as you help us reconcile eligibility discrepancies, analyze transactional data and make retroactive eligibility changes. But while we challenge you to raise your game, we’re here to support and guide you every step of the way. You’ll find a work environment that places tremendous emphasis on mentoring, training and personal development. So, there you have it. A chance to have significant influence and impact plus a role that takes you to new levels of performance. This is a job that can quickly become your life's best work.
As an Associate Enrollment and Eligibility Representative, you will be responsible for receiving, reviewing, processing, and maintaining new member(s) / group enrollment information.  
This position is full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (6:00 am-6:00 pm). It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 2725 Mall Drive, Eau Claire, WI.
Primary Responsibilities:
  • Receive paper and electronic enrollment / eligibility applications for new and / or existing customers; prioritize as appropriate
  • Respond to member eligibility or group questions and verify enrollment status
  • Review enrollment / eligibility submissions to identify any missing data and to validate information provided; reconcile any discrepancies
  • Submit files to relevant internal teams; provide any updates / changes / additions to enrollment / eligibility applications as needed
  • Responsible for inventory control of member and group transactions
  • Inform customers of enrollment-related policies and procedures; review eligibility guidelines and enrollment criteria to ensure their understanding
  • Review files to identify performance gaps, eligibility / loading errors, etc. and review those items with appropriate internal teams

Job Enrollment & Eligibility
Primary Location US-WI-Eau Claire
Other Location 
Organization M&R Ops - Enrollment & Billing
Schedule Full-time
Number of Openings 2
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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