Senior Claims Business Process Analyst - Telecommute Possible at Minnetonka

Description:

Welcome to one of the toughest and most fulfilling ways to help people, including you. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your lifes best work.SM Flexible, Friendly, Fast on your feet, thats a great start. Accurate, Accountable, Self Directed, These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and the way those services get paid. Its complex, detailed work. Its fast paced challenge. Its a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Senior Claims Business Process Analysts are responsible for all related aspects of claim system processes and claim business rules. Include claims systems utilization, capacity analyses/planning and reporting, claims-related business and systems analysis. Ensure data integrity, data security and process optimization.Responsibilities:

Responsible for providing research and root cause analysis for claim quality remediation
Responsible for all aspects of quality assurance
Create and edit requirements, specifications and recommendations to proposed solutions
Facilitate development of process documentation
Follow standard programming guidelines and requirements as set by team
Standard documentation and tracking processes
Uses pertinent data and facts to identify and solve a range of problems within area of expertise
Develop and execute test scenarios for all testing efforts including User Acceptance Testing, Regression Testing, End to End Testing and Parallel Testing
Actively participate in business level implementation meetings (RSA)
Actively participate in SOP creation for manual process
Identifies operational impacts and areas for process improvements
Identifies and escalates risks related to implementation
Post migration support including claims auditing, issue resolution, etc.

Qualifications:

Required Qualifications:

An education level of at least a High School Diploma or GED
2 + years of experience analyzing and solving customer problems in an office setting environment
3 + years in a technical or metrics based environment; preferably claims and/or customer service
Understanding of both HCFA and UB form types
Understanding of basic claim billing guidelines
Ability to work independently and manage own work schedule
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new complex computer system applications
Desired Qualifications:

Undergraduates degree or higher
2+ years of FACETS claim experience
2+ years of Adjustment highly preferred
Intermediate level of Excel: able to create spreadsheets of data, filter multiple row and columns of data
SharePoint development/creation
Take the next step, online at: www.yourlifesbestwork.comUnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:
UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.Together, we are removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: Minnesota, City: Minnetonka, Company: UnitedHealth Group.