Role Description
At UST, we help the world’s best organizations grow and succeed through transformation. Bringing together the right talent, tools, and ideas, we work with our client to co-create lasting change. Together, with over 30,000 employees in 30+ countries, we build for boundless impact—touching billions of lives in the process. Visit us at .
Summary:
UST is looking for….
E&B; QA Analyst Role Summary The Enrollment & Billing (E&B;) QA Analyst is responsible for independently auditing enrollment and billing transactions completed in TriZetto Facets. The role validates eligibility, member maintenance, 834 fallout resolution, billing reconciliation, payment reallocations, communications, and supporting documentation to ensure accuracy, completeness, procedural compliance, and defect prevention. Key Responsibilities Enrollment Quality Audits
• Audit recent enrollments, member additions, demographic changes, subgroup moves, removals, and terminations completed in TriZetto Facets.
• Validate member eligibility and enrollment documents for completeness and accuracy.
• Review corrections to fallout from employer portals, BenefitFocus Enrollment Center, reports, and 834 files.
• Validate Medicare Supplement enrollment maintenance and spousal discount eligibility transactions when assigned. Billing Quality Audits
• Audit cash receipt review and subgroup reallocations recorded in TriZetto Facets.
• Validate member-level reconciliation of billed and paid amount variances.
• Review terminated-group balances, returned payments, COBRA-related reports, pending-claims reports, and other assigned billing work.
• Validate National Accounts billing and reconciliation transactions against source reporting. Documentation & Compliance Validation
• Confirm that source documents, calculations, case notes, communications, and supporting evidence are complete and securely retained.
• Verify adherence to approved desktop procedures, service levels, and regulatory or audit controls.
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📌 Associate Iii Thiruvananthapuram (India)
🏢 UST
📍 India