At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Eligibility Assistant
Location
United States
Posted
2 days ago
Salary
$16 - $29 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Role Description
Optum CA is seeking an Eligibility Assistant to join our team in San Diego, California. As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.
As an Eligibility Assistant, you will:
- Research eligibility issues regarding active dates, termed dates, assigned primary care physicians, and address corrections for members enrolled with one of our groups.
- Update the EZCap system accordingly.
- Work full-time (40 hours/week) Monday - Thursday with flexibility to work a 10-hour shift schedule during our normal business hours of (5:45am - 4:15pm) PST.
- Complete daily reports from member notes and claim notes to verify, clarify, and update member eligibility.
- Look up members on health plan websites and/or call the plans for verification.
- Enroll and update individual members in EZ-Cap.
- Respond back via EZ-Cap member notes.
- Research “not on file” claims within 1 day of receipt of claim by the production area.
- Notify Production Assistant regarding eligibility updates.
- Research the EZCap system and health plan eligibility information for verifications.
- Update member address information from member updates and returned mail.
- Assist Eligibility Analysts as needed.
- Prepare a weekly report for the Manager of Claims and Eligibility indicating the total eligibility verifications for Medical Management, Claims, and Client Services.
- Complete other duties as assigned.
Qualifications
- High School Diploma / GED OR equivalent work experience.
- Must be 18+ years of age OR older.
- 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools.
- Experience with computers and Windows PC applications.
- Experience with Microsoft Word, Excel, Outlook, and Access.
- Ability to work full-time, Monday - Thursday with flexibility for a 10-hour shift schedule.
Requirements
- Managed care eligibility experience (preferred).
- Eligibility/enrollment experience (preferred).
- Reside within commutable distance to the office at 6760 Top Gun Street, Suit 201 San Diego, CA.
- Ability to keep all company sensitive documents secure (if applicable).
- Must have a dedicated work area established that is separated from other living areas.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection.
Benefits
- Comprehensive benefits package.
- Incentive and recognition programs.
- Equity stock purchase and 401k contribution (subject to eligibility requirements).
- Hourly pay for this role will range from $16.15 - $28.80 per hour based on full-time employment.
Job Requirements
- High School Diploma / GED OR equivalent work experience.
- Must be 18+ years of age OR older.
- 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools.
- Experience with computers and Windows PC applications.
- Experience with Microsoft Word, Excel, Outlook, and Access.
- Ability to work full-time, Monday - Thursday with flexibility for a 10-hour shift schedule.
- Managed care eligibility experience (preferred).
- Eligibility/enrollment experience (preferred).
- Reside within commutable distance to the office at 6760 Top Gun Street, Suit 201 San Diego, CA.
- Ability to keep all company sensitive documents secure (if applicable).
- Must have a dedicated work area established that is separated from other living areas.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection.
Benefits
- Comprehensive benefits package.
- Incentive and recognition programs.
- Equity stock purchase and 401k contribution (subject to eligibility requirements).
- Hourly pay for this role will range from $16.15 - $28.80 per hour based on full-time employment.
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