Associate Eligibility Specialist – Hybrid in San Antonio, Texas

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

 

The Associate Systems Specialist is responsible for ongoing maintenance of all membership and eligibility loaded in the claims system. This position provides support for eligibility inquiries and the resolution of eligibility discrepancies.

 

If you are located in San Antonio, TX, you will have the flexibility to Work from home and the office in this hybrid role* as you take on some tough challenges.

 

Primary Responsibilities: 

• Assists with performing data and root cause analysis of business/systems processes related to WellMed supported member eligibility
• Serves as first tier contact in diagnosing and responding to data integrity issues related to member eligibility
• Assists the various enterprise departments by providing support with regard to any WellMed supported eligibility verifications or issues
• Works with Systems Specialist to load EDI eligibility data received from payers into system
• Load and maintain member special status flags to ensure accurate payment of member claims
• Performs all other related duties as assigned

 

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.

Required Qualifications: 

• High School Diploma or GED
• 2+ years of experience in a healthcare environment
• Proven excellent organizational skills and attention to detail
• Demonstrated excellent customer service skills
• Demonstrated proficiency in verbal and written communication skills
• Proficiency in computer literacy skills

Preferred Qualifications: 

• Bachelor’s degree in Business, Healthcare or related field

 

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.

 

 

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

 

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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