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Enrollment Eligibility Representative - Bilingual English / Spanish - Huntington, NY

UnitedHealth Group

Huntington, NY
Job Code:
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Job Details

730377 Enrollment Eligibility Representative Bilingual English Spanish Huntington NY

Enrollment Eligibility Representative - Bilingual English / Spanish - Huntington, NY (730377)

Position Description

Position Description: 
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.
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.
Positions in this function are responsible for 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:
  • Assisting patient / family in completing Medicaid applications.
  • Assess patient’s eligibility for Medicaid.
  • Verifies patient’s information to complete application.
  • Coordinates with various agencies and individuals to resolve individual cases.
  • Provides information regarding Medical Center regulations and policies pertaining to medical coverage.
  • Contacts patient / family and conducts interviews for the purpose of assessing Medicaid eligibility.
  • Meets with and assists patient / family in completing Medicaid applications in order to ensure coverage.
  • Checks patient account for previous balances and advises patient of all financial obligations.
  • Informs patient of collection policy.
  • Notifies appropriate hospital staff regarding Medicaid eligibility status and determination.
  • Coordinates with various city and county agencies to resolve individual cases.
  • Answers the telephone and maintains files.
  • Informs Supervisor of activities, issues and problem cases.
  • Accumulates data for performance reports.
  • Performs related duties as required.
  • Moderate work experience within own function.
  • Some work is completed without established procedures.
  • Basic tasks are completed without review by others.
  • Supervision / guidance is required for higher level tasks.
Required Qualifications:
  • High School Diploma / GED
  • 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • Bilingual in English and Spanish
  • Available to work 37.5 hours per week with the flexibility to adjust daily schedule, and work overtime and / or weekends, as needed
  • Must have CAC certificate or be able to obtain one through company provided training within 3 months from date of hire
  • Experience with Microsoft Word, Microsoft Excel and Microsoft Outlook. (Word - Create correspondence and work within templates; Excel - Data entry, sort / filter, and work within tables; Outlook - Email and calendar management)
Preferred Qualifications:
  • 1+ years of Financial / Billing experience in a medical setting
  • 1+ years of Medicaid experience
Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
  • Medical / clinical environment (hospital) with moderate noise level due to coworkers talking, computers, printers, and floor activity
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

Job Details

  • Contest Number730377
  • Job TitleEnrollment Eligibility Representative - Bilingual English / Spanish - Huntington, NY
  • Job FamilyEnroll and Empl Contract Install
  • Business SegmentOptumInsight

Job Location Information

  • Huntington, NY
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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