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.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. The Broker Agent Service Specialist will be responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. This position is also responsible for overall employer contract loading using various databases and / or source documents. Primary Responsibilities: Auditing contract loads for adherence to quality measures and reporting standardsResearching errors by comparing Account Management documentation against multiple internal systemsAnalytical and Researching techniques to trend or quantify projects Preparing, processing, and maintaining new group installation and renewalsResponding to member eligibility or group questions and verify enrollment statusReconciling reports and group set up discrepancies, as well as analyzing transactional data and submitting retroactive eligibility changesResearch and respond to all claims processing inquiries from Client Management, Clinical, and other internal departmentsPerform claim testing to ensure accurate claim adjudicationConduct installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching and resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materialOverall employer contract loading using various databases and/or source documents. May research installation issues and develop customer specific resolutions which may include auditing contract loads for adherence to quality measures and reporting standardsPerform other duties as assigned
Required Qualifications:High School Diploma / GED or higher 2+ years of experience working in the Healthcare Industry within an office settingExperience MS Word and Excel including data entry, sorting, creating and modifying documents and spreadsheetsPreferred Qualifications:Undergraduate Degree or higher1+ years of experience in an Analytical role reviewing Healthcare Policy and ComplianceExperience paying ClaimsExperience in a healthcare setting taking Customer Service CallsPhysical Requirements and Work Environment:Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, and long periods working at a computerService center environment with moderate noise level due to Representatives talking, computers, printers and floor activityCareers 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.SMDiversity 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: Broker Agent Service Specialist, St. Petersburg, Florida, healthcare, analytics, compliance
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.