Enrollment Representative-Return Mail
Health Care that Starts with You!
Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.
ABOUT UCAREAt UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities. WORKING AT UCAREWorking at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do. MEMBERSHIP BILLING AND ENROLLMENT REPRESENTATIVE
This position includes responsibilities for both billing and enrollment processes. The goal is to be able to meet the needs of the department through flexibility in the distribution of work load and a focus on timely, accurate deliverables. The specific tasks are generally assigned by the accountable team Supervisor or Manager. Although Representatives will be assigned to a product team as their primary focus, their work will not be restricted to one product depending on the department needs.
This position consists primarily of data entry, some limited research and performing basic compares. These duties include both billing and enrollment processes, such as: ensuring daily and monthly enrollment files run, error reports are worked timely and accurately, forms are submitted to the appropriate entity timely and accurately, appropriate retention of forms received, verifying information as needed, managing the feeds from vendor and the State, ensuring timely and accurate data is submitted to third party delegate, member premium payment application, processing member refunds and member premium returns, reviewing and handling EFT forms, changes and terminations.·Meet department standards for timeliness, completeness and accuracy. Support other team members and processes as needed to promote department's ability to meet requirements and produce accurate and timely deliverables.·Process enrollment reports including verifying data, loading files ensuring that errors are corrected and members are accurately enrolled with timely and complete submission. This may include updates in PBM system and/or generation of letters for co-pay.·Accurately process all aspect of member premium payments, including posting, reconciling, refunding and handling bank return items.·Accurately update premium bill method, including setup and any account changes. Create and distribute Group invoices.·Research, verify and process EFT member aging and terminated member aging reports, including verification of account balance, initiating credit adjustments, letter creation, and requesting refunds or writing off bad debt.·Validate and update eligibility data identified as discrepancies in the Health Care Economics reconciliation reports. ·Ability to identify errors in enrollment and billing through knowledge of contractual and regulatory requirements, policies, and internal and external systems. ·Initiate and respond to Service Forms and member correspondence as needed to ensure member data is updated timely and any member questions are appropriately responded to and routed to Customer Service.·Correct member number with “misfiled” documents, linking scanned documents to the correct member file. Process returned mail, including updating demographics and either re-mail letters or create new letters.·Participate in process and quality improvement, department initiatives/plan and employee engagement. Provide input into department policies and procedures, including creating and maintaining Step by Steps work instructions.·Ensure the department meets expectations by participating in Quality Assurance reviews.·Assist in departmental reporting and communication to other UCare departments.·Other projects and duties as assigned. Education
Associates degree in business or related field; demonstrated experience may be considered in lieu of degree.Required Experience
One year experience in healthcare, insurance, accounts receivable processing or reconciliation. Proficiency in Microsoft Word and Excel. Data entry experience required.Preferred Experience
Knowledge of Medicare and/or Medicaid, health insurance enrollment and/or premium billing.THE UCARE DIFFERENCEUCare is proud to be a recognized Star Tribune Top Workplace for the 9th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply. As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.
At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.