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Hours Full-time, Part-time
Location Phoenix, AZ
Phoenix, Arizona

About this job

Position Description:

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) 

Positions in this function include those responsible for providing process and operational support to the functions within Business Operations Family. Positions in this function may also be responsible for quality reporting, analysis and audits, and for developing plans and programs to support continuous quality improvement using applicable tools.

Primary Responsibilities:
  • Receive a list of claims which failed with an error at the State Encounter system.
  • Work the list by looking up claims in Facets or Diamond, reviewing claims images, and tracking what actions the processor (or system) took, etc.
  • Document findings in MS Excel spreadsheet, word, etc.
  • Partner with key IT/other business group leads as necessary to complete actions/next steps.
  • Be accurate with details in a repetitive quick paced environment.

Requirements

Required Qualifications:
  • High School Diploma/GED.
  • 2+ years experience with Microsoft Office (MS Word and MS Excel).
Preferred Qualifications:
  • Bachelors Degree.
  • Experience with Diamond and/or CSP Facets claims platforms.
  • Experience
    with analyzing claims data from the both a claims front-end and
    applicable database(s) in order to make decisions based on pre-defined
    rules and SOPs/work instruction.
  • Experience in the claims system, including voids, pulling specific data elements and documenting claims information.
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM


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.