Data Entry Quality Assurance Analyst

UnitedHealth Group•Tampa, FL

2d•$18 - $32•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Quality Assurance Analyst primary responsibilities are to conduct reviews during the Itemized Bill Review active claim process and provide feedback to reduce errors and improve processes and performance. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 6:00 pm CST. Shift will be assigned during these hours. We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
3+ years of professional work experience/knowledge of the healthcare industry
3+ years of computer skills, including Microsoft Outlook, Microsoft Word, and Microsoft Excel
1+ years of telecommuter experience
Detail orientated - maintain a high level of quality
Ability to stay focused, organized, and consistently productive in a remote work environment, even when completing repetitive tasks. (e.g. dual/triple monitor use)
Ability to type quickly and accurately in a fast paced environment
Ability to work any 8-hour shift Monday - Friday, between the hours of 7:00 am - 6:00 pm CST

Nice To Haves

3+ years of medical claims and/or auditing experience
Familiarity with itemized statements
Knowledge of insurance and/or medical terminology
Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work
Ability to listen skillfully, collect relevant information, build rapport and respond to peers in a compassionate manner
Proficient conflict management skills to resolve issues in a stressful situation
Flexible and adaptable to a growing and changing environment
Team player
Ability to manage delicate matters with diplomacy

Responsibilities

Validate/analyze claim data for accuracy utilizing job aids, claim documents, policies, and procedures
Deliver/communicate fact-based quality review determinations in objective, non-confrontational manner
Provide supporting documentation for audit findings
Maintain tracking/reporting of daily tasks
Achieve production and quality goals/metrics
Identify/communicate uncommon patterns/trends to Team Lead/Manager