Optum Global Solutions India Private Limited jobs - Senior Claims Associate
Senior Claims Associate
2 to3 Years
Salary not disclosed
Posted:
5 Years ago
Views:
Applications:
Openings:
1
Job Description
Senior Claims Associate
Noida / Gurgaon (836409)
Primary Responsibilities:
- Accurate processing and completion of medical claims
- Process claims that route out of automatic adjudication, within current turnaround standards
- Proficiency in product lines applicable to processing unit
- Understand and apply plan concepts to include: Deductible, Coinsurance, Co-pay, State variations
- Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits
- Recognize potential pre-existing conditions, misstatements and fraudulent claims
- Process correspondence and requests for reconsideration within time service standards
- Use pre-approved electronic letters as well as handwritten letters to communicate with customers, providers, attorneys, regulators and other external entities
- Adhere to quality improvement initiatives
- Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards
- Special projects as required
Required Qualifications:
- College Graduate
- 2-3 years of customer service experience analyzing and solving customer problems
- Minimum 1 year of experience in Medical Billing (Payment posting/AR Calling/Charge Entry/Denial management/Cash posting)
- Experience working in the healthcare industry
- Experience working with claims and/or recovery
- Proficiency with computer and Windows PC applications
Job Particulars
Education
Any Post Graduate, Any Graduate
Who can apply
Experienced (2 to3 Years)
Hiring Process
Face to Face Interview
Employment Type
Full Time
Job Id
270464
Job Category
Others
State
Uttar Pradesh
Country
India
About Company
The Optum Ireland, part of the UnitedHealth Group family of businesses, Automation Centre of Excellence is an exciting new venture that’s passionate about process automation. We support the organization through the delivery of automation solutions, using existing, new and emerging technologies to enhance savings, improve productivity and quality and reduce cost.
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