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Senior Claims Quality Audit Representative - San Antonio, TX
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | San Antonio, TX San Antonio, Texas |
About this job
Position Description:
to one of the toughest and most fulfilling ways to help people,
including yourself. We offer the latest tools, most intensive training
program in the industry and nearly limitless opportunities for
advancement. Join us and start doing your life's best work.
Positions in this function are
responsible for all aspects of quality assurance within the Claims job
family. Conducts audits and provides feedback to reduce errors and
improve processes and performance.
responsible for all aspects of quality assurance within the Claims job
family. Conducts audits and provides feedback to reduce errors and
improve processes and performance.
Primary Responsibilities:
- Provide expertise claims support by reviewing, researching, investigating, auditing claims
- Analyze and identify trends and provides feedback and reports to reduce errors and improve claims processes and performance
- Responsible for all aspects of quality assurance
- Extensive work experience, possibly in multiple functions
- Works independently
- Serve as subject matter resource to team members, supervisors and management staff
Requirements
Requirements:
Let's talk about opportunity. Start with a Fortune 14 organization
that's serving more than 85 million people already and building the
industry's singular reputation for bold ideas and impeccable execution.
Now, add your energy, your passion for excellence, your near-obsession
with driving change for the better. Get the picture? UnitedHealthcare is
serving employers and individuals, states and communities, military
families and veterans where ever they're found across the globe. We
bring them the resources of an industry leader and a commitment to
improve their lives that's second to none. This is no small opportunity.
It's where you can do your life's best work.
- High School Diploma/GED or 10+ years of equivalent experience
- 1+ years of experience in medical claims processing
- Moderate
proficiency with computers and Windows PC applications, which includes
the ability to learn new and complex computer system applications - Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
- Core hours will be Monday – Friday from 8:00am – 5:00pm
Assets:
- Medicaid Business claims processing experience
- Intermediate proficiency with MS Word and Excel
- Facets platform experience
Physical Requirements and Work Environment:
- Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
Let's talk about opportunity. Start with a Fortune 14 organization
that's serving more than 85 million people already and building the
industry's singular reputation for bold ideas and impeccable execution.
Now, add your energy, your passion for excellence, your near-obsession
with driving change for the better. Get the picture? UnitedHealthcare is
serving employers and individuals, states and communities, military
families and veterans where ever they're found across the globe. We
bring them the resources of an industry leader and a commitment to
improve their lives that's second to none. This is no small opportunity.
It's where you can do your life's best work.
Diversity
creates a healthier atmosphere: All qualified applicants will receive
consideration for employment without regard to race, color, religion,
sex, age, national origin, protected veteran status, disability status,
sexual orientation, gender identity or expression, marital status,
genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.