UnitedHealth Group Senior Audit Representative - Claims Quality - Cebu City, Cebu in Apas Cebu City, Philippines
Welcome to one of the toughest and most fulfilling ways to help people, including yourself.
We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement.
Join us and start doing your life’s best work.(sm) Primary Responsibilities: Provide expertise claims support by reviewing, researching, investigating, auditing claims Analyze and identify trends and provides feedback and reports to reduce errors and improve claims processes and performance Responsible for all aspects of quality assurance Required Qualifications: Minimum 4 years of customer service experience in a call center/BPO setting, Billing or Collections experience 2 years Collections in Healthcare Industry Must have at least 18 months QA experience Must have at least 2 years claims /payer/ provider experience Demonstrated proficiency of Patient Revenue Cycle Applications and process flow through registration, charge entry, billing, collections, reimbursement calculation and payment Clinical Background Proficient problem solving approach to quickly assess current state and formulate recommendations Proficient conflict management skills to include ability to resolve issues in a stressful situation and demonstrating personal resilience Prior experience in coaching and supporting employees through building trust and collaboration that result in improved business and employee performance Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product Preferred Qualification: Background or experience in Pharmacy Physical Requirements and Work Environment: Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse Office environment Careers with Optum.
Here's the idea.
We built an entire organization around one giant objective; make health care work better for everyone.
So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.
For you, that means working on high performance teams against sophisticated challenges that matter.
Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm) Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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. Optum is a drug-free workplace.
© 2017 Optum Global Solutions (Philippines) Inc.
All rights reserved. Job Keywords: Claims Quality, QA, Quality Assurance, Audit Representative, Claims, Collection, Collections, Billing, Clinical, Health Care, Healthcare, Patient Revenue Cycle, Customer Service, Customer Advocate, Client Service, Customer Care, Contact Center, Call Center, BPO, Business Process Outsourcing, Cebu City, Cebu 0373f404-6920-4ff4-b176-af9122d3f9d0
Senior Audit Representative - Claims Quality - Cebu City, Cebu Philippines-Apas Cebu City 723653