Enrollment and Billing Specialist | Lexington-Fayette, KY

Enrollment And Billing Specialist

UMR, UnitedHealthcare's third-party administrator (TPA) solution, is the nation's largest TPA. When you work with UMR, what you do matters. It's that simple and it's that rewarding.

In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.

Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast-paced and highly diversified career.

As an Enrollment and Billing Specialist, you will be responsible for administering union-sponsored benefits, including health and welfare and pension plans. Your duties will include verifying participant eligibility, responding to inquiries, preparing correspondence for members and employers, processing contributions and monthly checks, and reconciling reports to resolve discrepancies. This role requires strong analytical skills, proficiency in PC applications and Excel, and a commitment to improving processes for greater efficiency and quality.

This position is full time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 230 Lexington Green, Suite 400, Lexington, KY 40503.

Primary Responsibilities:

• Administration of Union-Sponsored Benefits, including health and welfare, pension and others
• Collection of data from participants to determine eligibility
• Answer questions via telephone and email to convey information regarding the provisions of the pension and health and welfare plans.
• Create various types of members or employer correspondence including letters and emails.
• Collection and data entry of participant hours worked and contribution amounts.
• Handle processing of monthly check processing and mailing
• Analytical and researching techniques.
• Reconcile reports and payment discrepancies, analyze transactional data
• Perform basic clerical functions with proficient PC and Excel Skill
• Initiate and assist with developments/changes to increase or change quality and productivity.

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at:

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 / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience working with billing reconciliation, posting deposits, and accounts receivable
• 1+ years of experience in an office setting using the telephone and computer as the primary instruments for analyzing and solving customer problems and inquiries
• Experience with using Microsoft Excel (ability to create, edit, save, send, sort, filter, enter data, and use basic formulas in spreadsheets)
• Experience with Microsoft Windows, including mouse and keyboard skills (data entry, open documents, save documents) including the ability to learn new and complex computer system applications
• Ability to work on-site at the office located at 230 Lexington Green, Suite 400, Lexington, KY 40503
• Must reside within 90 miles of the office location 230 Lexington Green, Suite 400, Lexington, KY 40503
• Ability to work full time (40 hours/week), Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm EST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

• Experience in finance / accounting area
• Experience with using Eligibility software
• Experience of Taft - Hartley OR Union Benefit Administration
• Experience with reconciling bank accounts
• Experience working with ERISA Compliant Benefit Funds
• Experience working with healthcare insurance enrollment / eligibility

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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