Primary Responsibilities:
Install cases using UNET Platform
Test system benefits and test Plan Product templates in TOPS
Review highly complex benefits for TOPS compatibility
Be able to understand and apply plan concepts to include:
Deductible
Coinsurance
Co-pay
Out-of-pocket
State variations
Recognize issues related to variable deductible, coordination of benefits; carve-out alternate benefits
Take up the mantle of a training resource as applicable
Participate in process improvement activities by identifying gaps/opportunities and actively working towards bridging them
Adhere to quality improvement initiatives
Serve as a technical resource to business partners and co-workers
Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards
Participate in Special projects as required
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Personal Attributes:
Attention to detail
Quality focused
Written and verbal communication skills
Organizational skills
Team player
Ability to work without close supervision
Good Analytical skills. He should have the ability to understand the mistakes and correct the same
Good understanding of English and ability to write emails in English
Required Qualifications:
Graduate “Results awaited” candidates will not be accepted
Technical profiles will not be eligible/accepted
UNET experience
Knowledge of provider billing or medical claim payment
Good knowledge on MS Word & MS – Excel
Proficiency in product lines applicable to processing unit
Proven good comprehension skills
Open for NIGHT SHIFT and extended shifts
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
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