UHG

About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Accounting/Finance

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

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Billing Quality Analyst - Duluth, MN

UHG - Duluth, Minnesota

Posted: 11/12/2018

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.

Positions in this function are responsible for all aspects of quality assurance within the Billing job family. Conducts audits and analysis and provides feedback to reduce errors and improve processes, design, and performance.


Primary Responsibilities:

  • Assist with the resolution of complex audits and/or questions from auditors. Develop and deploy temporary work arounds where needed.
  • Deliver quality audit program training to include review of source documentation, Business Operations Policy & Procedures, Production Source Systems and Quality Databases.
  • Responsible for conducting Auditor quality evaluations to ensure each audit is completed within compliance of Quality standards.
  • Provide coaching feedback sessions as needed to reduce errors and improve performance.
  • Participate in the presentation of Quality Council meeting with Business Partners.
  • Creation and updating of socialization documents to outline the on-boarding of new quality programs.
  • Complete focus audits to identify areas of risk and/or area of improvement.
  • Ensure timely and accurate completion of assigned production samples before month-end deadlines.
  • Collaborate with business partners on root cause analysis and remediation of Quality errors.
  • Serve as back up to Supervisor.
  • Assist auditors with rebuttals and ensure proper documentation.
  • Accept projects as assigned.

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 2+ years of college or equivalent work experience
  • 5+ years of experience in the health care / insurance industry
  • 3+ years of experience in an audit or support capacity
  • 2+ years of experience training in auditing platforms (UNET, PRIME, BRMS, Polaris, etc.)
  • Proficiency in Microsoft Word (creating / editing documents), Microsoft Excel (filtering /sorting spreadsheets), Adobe PDF (creating and editing PDFs), and Microsoft PowerPoint (navigation and creating presentations)
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and 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.

Keywords: Billing, audits, documentation, inquires, Quality, UnitedHealth Group, UnitedHealthCare

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