16 days old

Healthcare EDI Claims Supervisor - Ontario, CA - 919250

Ontario, CA 91764
  • Job Code
    919250

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll doyour life's best work. (sm)

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Primary Responsibilities:

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  • Manage daily operations to ensure timely and accurate exchange of Electronic Data Interchange (EDI) transactions
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  • Establish and manage priorities for EDI staff to ensure task completion
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  • Provide analytical support for the implementation and maintenance of EDI transactions
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  • Anticipate and proactively identify solutions to operational issues
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  • Ensure complete documentation of EDI maps and business edits
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  • Manage the execution of user acceptance testing for Healthcare EDI Transactions (ANSI X12N 835, 837, 997/999, 270/271, 276/277, and 278)
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  • Lead and develop staff to ensure EDI core competencies are met
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  • Conduct management activities including performance review and career development
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  • Other responsibilities as assigned
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  • Carries out assignments with thoroughness, accuracy and attention to detail
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  • Respond in a timely manner to customer requests and concerns
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  • Makes logical fact-based decisions
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  • Applies knowledge / expertise to complex problems
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  • Delegates work and allocates resources to maximize productivity
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  • Ability to prioritize and delegate tasks to satisfy assigned deliverables
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  • Challenges the status quo, and encourages others to do so
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  • Convey written information clearly and effectively in both formal / informal documents
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  • Ability to identify and safeguard confidential data (HIPAA)
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  • An understanding of legal implications as related to health care issues
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  • Proactively works to develop new knowledge and skills
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  • Identify employee development needs and provide opportunities for development
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Youll 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.

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Required Qualifications:

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  • Bachelor'sdegree or equivalent experience
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  • 3+ years managerial experience
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  • 5+ years of experience with EDI Healthcare transactions
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  • Knowledge of UB04 and CMS1500 form layouts
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  • Experience with Leading and Developing team members
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained.
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Preferred Qualifications:

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  • 1-2 years experience with ANSI healthcare transactions
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  • Experience with text editor software (i.e., EDI readable format)
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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)

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"Diversity 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.

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"UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords:EDI, ANSI, UAT, UB04, CMS, 1500, Text Editor,NAMM, United Health Group, Optum, CA, California, Claims, Supervisor, healthcare, Ontario

Categories

Posted: 2021-03-31 Expires: 2021-04-30

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Healthcare EDI Claims Supervisor - Ontario, CA - 919250

UnitedHealth Group
Ontario, CA 91764

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