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Senior Enrollment Eligibility Representative - Melville, NY

UnitedHealth Group

Melville, NY
Job Code:
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Job Details

738677 Senior Enrollment Eligibility Representative Melville NY

Senior Enrollment Eligibility Representative - Melville, NY (738677)

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.SM

Primary Responsibilities:

  • This position will be based out of Melville, NY; however the location can change day to day. You will be assisting patient/family in completing various government sponsored programs on-site and off-site.
  • Assess patient’s eligibility for government sponsored programs/financial assistance.
  • Verifies patient’s information to complete application.
  • Coordinates with various agencies and individuals to resolve individual cases.
  • Provides information regarding health system regulations and policies pertaining to medical coverage.
  • Contacts patient/family and conducts interviews for the purpose of assessing eligibility.
  • Meets with and assists patient/family in completing 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 eligibility status and determination.
  • Coordinates with various city and county agencies to resolve individual cases.
  • Answers the telephone and maintains files. Informs Supervisor/Manager of activities, issues and problem cases.
  • Accumulates data for performance reports.
  • Performs related duties as required.
  • Some work is completed without established procedures.
  • Basic tasks are completed without review by others.
  • Supervision/guidance is required for higher level tasks.


  • High school education or GED
  • 3+ year of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • 1+ years’ experience enrolling patients in the Market Place AND Department of Social Services government programs. Must have a working knowledge of submitting various types of Medicaid applications to the local Department of Social Services
  • Available to work 37.5 hours per week 8a-4p with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed
  • Bilingual English/Spanish
  • Must have a valid Certified Application Counselor (CAC) certification or ability to obtain a CAC certification within 3 months of employment.
  • Experience with Word, Excel & Outlook, management with calendar, emails, documents, and spreadsheets 
  • Must have a vehicle to drive to the local Department of Social Services, to hospitals, and to do field work as needed for example going to the patient’s homes to complete or gather documentation needed to submit the cases. Mileage will be compensated. (You would be commuting to any of the following hospitals: LIJ Valley Stream, Zucker Hillside Hospital, Huntington Hospital, LIJ Forest Hills Hospital, Glen Cove Hospital, Plainview Hospital, Syosset Hospital, Monter Cancer Center).
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
  • Hospital environment with moderate noise level due to Representatives 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.SM

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: OptumInsight, Senior Enrollment Eligibility Representative, Melville, NY, the Market Place, Department of Social Services government programs

Job Details

  • Contest Number738677
  • Job TitleSenior Enrollment Eligibility Representative - Melville, NY
  • Job FamilyEnroll and Empl Contract Install
  • Business SegmentOptumInsight

Job Location Information

  • Melville, NY
    United States
    North America
  • Other LocationsVALLEY STREAM, NY

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • 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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