UCare

Membership Billing & Enrollment Representative

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Sep 12, 2019
Closes
Sep 28, 2019
Ref
1727
Category
Healthcare
Employment Status
Full Time
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.

Rewards

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.

www.ucare.org/careers/

EOE/AA

ABOUT UCARE

UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE

Working at UCare is more than 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. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 10 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.

MEMBERSHIP BILLING & ENROLLMENT REPRESENTATIVE

Position Description

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 DIFFERENCE

The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, 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.

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