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UnitedHealth Group
Associate Service Account Manager
Career Insights for Eligibility Specialist
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Scorecard
Based on Florida data
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What they do
An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
$44,207 / year median in Florida
+17% projected growth
Job Description
- Requisition number:
- 2381140
- Job category:
- Customer Services _This position is Onsite.
- Caring. Connecting. Growing together
- The
- Associate Service Account Manager
- serves as a key liaison between university departments, students, and health insurance providers to ensure smooth administration of student health plans.
- Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00 am
- 4:30 pm. It may be necessary, given the business need, to work occasional overtime. We offer 8 weeks of paid on-site training. The hours during training will be 9:00 am
- 5:30 pm CST, Monday
- Friday. No PTO during training. 100% attendance is required.
Primary Responsibilities:
- + Collaborates with the University Bursar, Registrar, IT Services and Web Services departments to ensure smooth processes throughout the insurance plan year + Coordinates the administrative aspects of a competitive bid process for USHIP and the optional insurance plans + Maintains the University Student Health Insurance Administration Tool, which tracks students' annual enrollment and waivers into / out of USHIP + Interface effectively with all the University customers (students and / or their dependents, Administrators, and Student Health Center staff,) while clearly presenting the University's' position on all topics + Function as a day•to•day liaison between all entities by providing walk in and telephonic customer service support to all University customers + Assist in resolution of any insured and/or provider billing issues + Understand and educate students regarding current plan design, policies, and procedures + Coordinate and attend on-campus service-related functions / meetings, including Orientations, Health Fairs and In•Service Information Sessions as needed as it relates to the student health insurance plan + Effectively interface with all internal and external partners toward the common goal of providing exceptional customer service to the University students and Administration to ensure that the Company's short•and long•term goals are met as it relates to the student health insurance plan + Learn and demonstrate knowledge of all phases of claims processing, including enrollment management, the appeal process, the pre•determination process, and contract interpretation of plan benefits and policy provisions + Assist with the enrollment / waiver process.
Required Qualifications:
- + High School Diploma / GED + Must be 18 years of age OR older + 2+ years of experience in healthcare OR medical insurance operations, including claims processing, benefits verification, enrollment, provider services, OR related functions + Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications + Must be located within 25 miles of any of the office locations + Ability to work full time on-site (40 hours / week), Monday•Friday.
- 4:30 pm. It may be necessary, given the business need, to work occasional overtime.
Preferred Qualifications:
- + 1+ years of customer service experience in a higher education environment supporting the student population + Experience with Medical OR insurance terminology + Experience with public speaking / presenting information to customers
Soft Skills:
- + Ability to multi-task including the ability to understand multiple products and multiple levels of benefits within each product + Ability to improve the customer's experience + Ability to conduct presentations within a public format, small or large + Ability to maintain positive engagement through written and verbal communication + Work effectively in a changing environment + Demonstrates diversity awareness Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
- $36.
- an enterprise priority reflected in our mission.
- free workplace.