Enrollment Coordinator - Providence, RI

Description UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
 
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
 
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
 
Position Description: 
Position is responsible for building new CareTracker clients and enrolling them with insurance companies with which the client participates. An Enrollment Coordinator partners with the customer throughout the implementation process to expedite required information, gather and review missing information with the customer. They also identify any additional value added services that are required for a successful implementation. Enrollment Coordinators must keep management apprised of all critical situations and their status for all assigned accounts and provide information regarding significant developments and product requirements.
 
Primary Responsibilities:

• Responsible for reviewing new client Implementation packets and identifying missing materials
  
• Working with clients to obtain required data
  
• Building new clients in CareTracker
  
• Preparing required enrollment paperwork (EDI)
  
• Completing billing sections of enrollment paperwork insurance companies require from our clients
  
• Being familiar with the credentialing process with each of the major payors we deal with
  
• Verifying all new clients have sent claims to all major insurance companies and have received payments from these insurance companies
  
• Setting clients up clients for additional services, e.g. SureScripts, lab interfaces and TeleVox
  
• Updating and maintaining grids used to track the status of new clients
  
• Being knowledgeable of major insurance companies' basic enrollment requirements and required provider/group data
  
• Imperative that all LighthouseMD and HIPAA compliance guidelines are followed and all questions and concerns are directed to the Compliance Officer or company President 
  

Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.

Requirements Qualifications: 

• Intermediate skill level with Microsoft Word, Excel and Outlook
• 3 years - Enrollment and/or credentialing experience
• 3 years - Demonstrated experience interacting with both internal/externals customers
• 2 years - Knowledge or familiarity with medical terminology
• Bachelor's Degree, preferred
• Healthcare industry experience, strongly preferred

 Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V
 
 UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.