AMAZING OPPORTUNITY
OPTUM is establishing off-campus drives for the position of Associate for Hyderabad/Noida, India. Eligible candidates please follow the required steps and prepare well for the position. Please find the Apply Link below.
OPTUM Recruitment:-
Position: Associate
Salary: Up To 7.2 LPA*
Degree: Bachelor’s or Masters Degree
Batch: 21/22/23/2024
Experience: Freshers
Location: Hyderabad/Noida, India.
JOB DESCRIPTION:-
- Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment; including coordinating with payers, patients and clients when appropriate
- Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR
- Accounts Receivable Specialist that has an “understanding” of the whole accounting cycle / claim life cycle
- Ensure all workflow items are completed within the set turn-around-time within quality expectations
- Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and #’s, leading to process improvements
- Perform other duties as assigned
- Appeals resolution with high accuracy and timeliness to ensure individual and business metrics are met
- Conducts research in claims history and coordinates with business partner to make decision to uphold or overturn claims decision
- Read and comprehend incoming appeals and supporting documentation
- Read and comprehend written operating procedural steps
ELIGIBLITY CRITERIA–
- Graduation (BTECH / BE / MBA / B pharm / M pharm / BCA / MCA are not eligible to apply)
IMPORTANT POINTS:-
- Solid knowledge and use of the American English language skills with neutral accent
- Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information
- In-depth working knowledge of the various applications associated with the workflows
- Proficient in MS Office software; particularly Excel and Outlook
- Proven ability to communicate effectively with all internal and external clients
- Proven ability to use good judgment and critical thinking skills; ability to identify and resolve problems
- Proven to be efficient and accurate keyboard/typing skills
- Proven to possess a solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction
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