Data Entry Quality Assurance Analyst

About this role

*This position is National Remote. You'll enjoy the flexibility to telecommute\* from anywhere within the U.S. as you take on some tough challenges.*

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

The Quality Assurance Analyst primary responsibilities are to conduct reviews during the Itemized Bill Review active claim process and provide feedback to reduce errors and improve processes and performance.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 6:00 pm CST. Shift will be assigned during these hours.

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities:

• Validate/analyze claim data for accuracy utilizing job aids, claim documents, policies, and procedures
• Deliver/communicate fact-based quality review determinations in objective, non-confrontational manner
• Provide supporting documentation for audit findings
• Maintain tracking/reporting of daily tasks
• Achieve production and quality goals/metrics
• Identify/communicate uncommon patterns/trends to Team Lead/Manager

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• 3+ years o...