Claims Analyst - Phoenix, AZ

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.



AmeriChoice, a UnitedHealth Group company, is a recognized leader and innovator in providing managed health care solutions to its Medicaid membership.  With over a decade of growth and success we are poised for continued expansion of our services in this dynamic marketplace. Our commitment to this specialized market makes a genuine difference in thousands of lives. Join us, do rewarding work and build a great career.


 


Due to continuing growth, we seek an experienced, team-oriented professional to analyze and test claims processing systems in our Claims Payment Accuracy Testing department. This is an excellent opportunity to join a supportive team in a role where you would interact with all levels of our organization. If you thrive in a fast-paced environment and are interested in a role that could lead to future advancement, we encourage you to apply.


 


Job Responsibilities:



Assisting with testing related to system changes and configurations. 


Reviewing professional or institutional contracts. 


Setting up test scripts. 


Running reports to identify claims data. 


Executing tests and analyzing the results. 


Investigating trend issues.



Job Qualifications:



Significant claims experience and working knowledge of medical codes and pricing schedules is required.


An understanding of both UB and HCFA claims will be needed, as well an understanding of pricing concepts.


Experience running reports using SQL and conducting trend analysis would be preferred.


A background in working with provider networks would be helpful.


The chosen candidate will be computer savvy and adept at dealing with all levels of staff members.


 





Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V