Claims Quality/Audit Representative

UMR, Wausau, WI
(Full time)

Description

UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
When you work with UnitedHealthcare, what you do matters. It's that simpleand it's that challenging.
 
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.
 
Position Description: 
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.  
 
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

Qualifications

Qualifications:
  • High school education or GED is required
  • 2+ years of processing experience on the Medical CPS claim platform with a high level of quality results is required
  • 2+ years of telephonic customer service experience with a high level of customer satisfaction is required
  • Strong written and verbal communication skills required
  • MS/Office experience (Word, Excel & Outlook) is preferred
  • Knowledge of procedure and diagnosis coding practices is preferred
  • 2-3 years experience working in a Windows based environment is strongly desired
  • Experience with other UHG lines of business such as dental and/or flex is preferred
Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V
 
UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job  :  Claim Quality
Primary Location  :  US-WI-Wausau
Schedule  :  Full-time

 
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( AllHealthcareJobs Job ID:616375 last updated on 11/22/2009)