Enrollment Analyst II - Kelsey Seybold Clinic - Pearland Business Office

UnitedHealth Group•Pearland, TX

1d•$18 - $32•Onsite

About The Position

This role involves managing and processing enrollment applications for KelseyCare Advantage across different health plan options. It includes handling calls from members, clinics, or health plan reps to sort out any eligibility queries, as well as making calls to confirm members' enrollment status. The job requires analyzing eligibility documents, using a variety of system applications and databases to process files, addressing eligibility edits, and keeping the enrollment system data updated for over 100,000+ managed care members. As a go-to person for initial level escalated eligibility issues, this position also offers guidance and expertise to level I Enrollment Analysts. Additionally, the role covers updating member eligibility, supporting the processing of data files from employer group health plans, managing enrollments, handling necessary member communications, and helping with system testing. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High school diploma or equivalent
3+ years of experience in eligibility/enrollment within the managed care industry
Proficient in Microsoft Office Suite, including Access, Excel, Word, and Outlook
Excellent written and verbal communication skills
Proven ability to read and interpret technical reports
Proven ability to analyze and interpret data using Microsoft Excel and Access and provide feedback to appropriate personnel
Proven to be flexible; able to work independently or in a team environment; able to work overtime as needed
Proven to be detailed and able to work with minimum supervision to meet strict deadlines

Nice To Haves

Some college or technical school
Prior experience in customer service in healthcare Industry
Prior experience with Medicare Advantage
Working knowledge of Epic Tapestry system
Working knowledge of TriZetto Enrollment Administration Manager (EAM) application

Responsibilities

Managing and processing enrollment applications for KelseyCare Advantage.
Handling calls from members, clinics, or health plan reps to sort out eligibility queries.
Making calls to confirm members' enrollment status.
Analyzing eligibility documents.
Using a variety of system applications and databases to process files.
Addressing eligibility edits.
Keeping the enrollment system data updated for over 100,000+ managed care members.
Serving as a go-to person for initial level escalated eligibility issues.
Offering guidance and expertise to level I Enrollment Analysts.
Updating member eligibility.
Supporting the processing of data files from employer group health plans.
Managing enrollments.
Handling necessary member communications.
Assisting with system testing.