Position Description: 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 As a Healthcare Claims Testing Analyst, you would work as a part of a dynamic team involved with software, web, portal, application, and other testing for new systems and / or enhancements with a focus on both manual and / or automated testing tools, test script and test plan creation and maintenance, defect tracking and reporting.Primary Responsibilities:Test plan, test case, and test script creation and execution including data entry to claim adjudicationRequirements analysis and test scope estimationEnvironment validationInvestigate issues and provide written analysisDefect and trend tracking, reporting and analysisUse of Quality Auditing methodology, processes including manual claim auditsQuality plan analysis in Application Lifecycle ManagementTesting efforts may include: unit, system, manual, black box, white box, automation, load, end - to - end, SOPs and other testingUtilize solid analytic skills, including the ability to perform root cause analysis and troubleshoot basic system configuration issuesUnderstand customer needs and requirements, design relevant tests, deliver results on time, and communicate outcomes.
Required Qualifications:High School Diploma / GED or higher 2+ years of experience using Microsoft Excel – create claim tester workbooks, filter information, input claim results, and move fluently through the tester workbook.Intermediate experience with Microsoft Word – create documents and provide clear and concise communication to business partners.1+ years of Claims Testing experience with working knowledge of both HICF and UB Forms types2+ years in a technical or metrics based environment; specifically, FACETS Claim experiencePreferred Qualifications:Bachelor's Degree (or higher)Experience in Microsoft AccessUnderstanding of the basic mechanics of testing and claim auditingUnderstanding of Healthcare Benefit Principles and Medical TerminologyMedical Claim Adjustment experienceExperience working with Microsoft SharePointPrevious Healthcare industry experiencePrevious experience with HP Application Lifecycle ManagementCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SMDiversity 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: UnitedHealth Group, Healthcare Claims Testing, Testing Analyst, telecommute, Claims
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.