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Subject Matter Expert Job Openings by UnitedHealth Group in July 2018

Job Title Subject Matter Expert Job Openings UnitedHealth Group
Pub Date 5 months ago
Company UnitedHealth Group
Location India

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To produce the corporation eye-sight and also vision comes legitimate; UnitedHealth Group is actually open up with brand-new position because originate from July 2018. All people who is enthusiastic filling this particular vacant, you need to participate in this Subject Matter Expert Job Openings recruitment inside . It can be encouraged for all contributors to arrange just about all essential demands due to this job recruitment procedure, for the reason that method will need that you supply ideal specs that the firm desires just for this situation. If you are that you are one that may fill up the standards, you can attempt to learn further info about Subject Matter Expert Job Openings below.

UnitedHealth Group Job Opportunities 2018

Subject Matter Expert Job Openings - India

This position requires the candidate to have a good understanding in handling billing related data entry into multiple systems by gathering information from scanned images and billing reports. Resource needs to be extremely accurate and detailed oriented in entering billing information as there are financial penalties of incorrect billing data entry. Someone who can be good in typing, accuracy and has competent knowledge of medical billing terminologies in particular ICD 9 codes and should understand laboratory operations will be fit for the role.

BDE Process: It is the front end billing dept. of Quest. It is where requisitions are transitioned into a billable claim for payment. BDE is the department where the Billing Process begins. It receives an average of 23,000 requisitions per day. These requisitions are scanned into Optimaxx, part of UnitedHealth group family of businesses, and sorted into imaging work queues. The information is keyed into BFE by BDE keyers.

Billing Data Entry Mission: To obtain correct and complete billing information to produce a timely and accurate bill so that prompt payment for services is received

Primary Responsibilities:

  • Receive/Gather/Prepare/Data entry from relevant sources
    • Pull/gather data from relevant computer/electronic systems and software applications (e.g., imaging; electronic; email; Spreadsheets; billing systems)

    • Review collected data to ensure information is accurate and complete (e.g., correct billing details such as patient name, diagnosis codes ICD 9 codes; diagnosis history will not be entered, physician address, Insurance company name, employer details etc)

    • Seek clarifications or corrections to data from relevant stakeholders (e.g., return missing/incorrect documents to submitters; contact stakeholders to gather additional billing data entry information)

    • Prioritize and/or assign billing data entry or report requests to the appropriate personnel
  • Test/Verify/Enter data into relevant systems
    • Manually enter and/or scan relevant data using applicable systems or programs

    • Review entered data in order to identify errors or discrepancies prior to submission

    • Ensure data entry is performed in an accurate and timely manner according to internal standards

    • Perform audits of submitted data entries and provide relevant feedback to team members in order to ensure ongoing quality and Accuracy

    • Facilitate/make corrections to incorrect data entry when applicable

    • Review system-generated reports to identify potential errors or discrepancies

    • Generate/run reports in order to verify, correct, and/or update information

    • Escalate challenging data entry problems/issues to management in order to facilitate their resolution
  • Utilize Data Entry Systems, Tools, and Procedures
    • Adhere to internal workflows, business rules, policies, and procedures

    • Demonstrate understanding of how relevant computer systems and platforms operate and integrate with one another (e.g., MS Navision; OnBase; Insight; Data Flex; Teleform; UM Applications)

    • Utilize relevant software applications (e.g., Excel; Word; SharePoint; Outlook)

    • Stay abreast of changes to relevant workflows, policies, and procedures

    • Educate internal team members on applicable changes to data entry procedures, tools, and/or systems

    • Generate/run reports (e.g., revenue) to provide business partners with relevant information

    • Utilize relevant reference manuals and/or on-line data sources (e.g., Hoover's; relevant websites)
  • Demonstrate Knowledge of the Business and Customers
    • Demonstrate understanding of applicable business departments' operations, drivers, and/or procedures

    • Gather/utilize feedback regarding processes and procedures from business partners to help identify and implement applicable Changes/improvements

    • Demonstrate knowledge of relevant data confidentially guidelines (e.g., HIPAA compliance)

    • Recognize and report system and application problems to relevant partners (e.g., help desk; supervisors; colleagues)

    • Contact internal partners (e.g., clinical team) to inform them of data entry errors and implications

    • Demonstrate understanding of fundamental health-care related terminology, programs, and/or services

Required Qualifications:

  • Graduate with minimum of 2 years experience in health care management such as patient management, accounts receivables and payables
  • Working knowledge of billing tools used in the BPO and Healthcare industry

Preferred Qualification:

  • US Healthcare provider experience in RCM billing process


  • Mentoring and Guidance: Provide assistance to individuals with questions that arise regarding policies, procedures, and processes and responsible to answer questions and/or direct individuals to the proper policy and procedure for review.
  • Audit and Control: Provide Quality Assurance review for identified functions as designated for the timeframe of the assignment, in order to provide timely and appropriate feedback based on the work completed.
  • Training Support: Provide and/or create any additional job aids as determined based on questions and comments received from site. Provide additional training on policies and procedures and provide real-life examples relating to areas in question.
  • Wrap-up Meeting Participation: Attend daily wrap-up meeting between Site Manager and/or Supervisor. Discuss the day's events, document issues, and create action plans for resolution. Ensure critical messages and concepts are adequately conveyed and outstanding issues are documented and assigned the appropriate person for resolution.
  • OJT: Support individuals through the training program and on the floor by providing immediate feedback on work performed. Serve as a subject matter expert to clarify policies and procedures and provide information on observed trends and additional training opportunities.
  • Maintain TAT and Inventory Control
  • Candidate has to be open for NIGHT SHIFT and extended shifts
  • Good comprehension skills
  • US Healthcare provider experience
  • Proficient in MS Office software; particularly Excel and Outlook
  • Ability to multi-task and prioritize in order to complete daily tasks with minimal supervision
  • Possess a strong work ethic and a high level of professionalism with a commitment to client/patient satisfaction and have functional knowledge of HIPAA rules and regulations
  • Excellent organizational skills and ability to work in a team environment and adapting to change
  • Strong Analytical skills with an ability to draw conclusions from data
  • Ensure Confidentiality, availability and Integrity of Data
  • Strong attention to detail and ability to prioritize tasks

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)


As one of the leading company in India, UnitedHealth Group offers variety of opportunities for employees to grow and make them as future leaders of the professional and disciplined. UnitedHealth Group also offers a dynamic work environment in order to encourage employees to contribute optimally, and at the same time is able to increae new skills and knowing through the company programs.

If Mr interested to apply Subject Matter Expert Job Openings India July 2018 UnitedHealth Group UnitedHealth Group, immediately prepare requirements / files and documents needed for apply Subject Matter Expert Job Openings India July 2018 UnitedHealth Group above. To apply by online, please click the "Apply" button below. If you still do not satisfy with our job recruitment information above, you can try to read other job recruitment information that we provide in our website which still located in India region from any other company.

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