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Optum · 17 hours ago

Enrollment Analyst I - KCA - Kelsey Seybold Clinic

Pearland, TX

Full-time

Onsite

Entry Level

$16/hr - $27.69/hr

1+ years exp

Optum, part of the Kelsey-Seybold Clinic, is a leading healthcare organization seeking an Enrollment Analyst I. This role involves managing and processing enrollment applications for KelseyCare Advantage, handling eligibility queries, and maintaining updated enrollment system data for over 100,000 managed care members.

EducationHealth CareMedicalPharmaceutical

Responsibilities

This role includes handling calls from members, clinics, or health plan reps to sort out any eligibility queries, as well as making calls to confirm members' enrollment status

The job requires analyzing eligibility documents, using a variety of system applications and databases to process files, addressing eligibility edits, and keeping the enrollment system data updated for over 100,000+ managed care members

Additionally, the role covers updating member eligibility, supporting the processing of data files from employer group health plans, managing enrollments, handling necessary member communications, and helping with system testing

Qualification

Healthcare Industry experienceEnrollment process knowledgeCustomer Service experienceCMS experienceCommunication skills

Required

High School diploma or GED from an accredited program

1+ years of Healthcare Industry or 6 months experience working in KelseyCare Advantage Sales

Preferred

Some college or technical school

1+ years background in enrollment and/or reconciliation

Experience Customer Service in Healthcare Industry

Experience with CMS

Knowledge of Medicare Advantage enrollment process

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Company

Optum

Glassdoor3.6

Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.

Founded in 2011

Eden Prairie, Minnesota, USA

10001+ employees