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 lifes 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 patients eligibility for Medicaid.
Verifies patients 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.
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.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.