Billing Representative

Optum India; Bengaluru; On-site; INR 400,000 - 600,000; Full time

Job summary

Optum India seeks a detail-oriented Eligibility Process Associate to join our Bengaluru team. The role involves handling queries via email and calls, ensuring quality and timely responses, and complying with internal policies and security standards.

The position requires experience with SOPs, strong MS Word/Excel skills, and the ability to work night/extended shifts as needed. Bachelor's degree is preferred.

Qualifications

• Understanding of healthcare terminologies/concepts.
• Proven ability to work with minimal supervision.

Responsibilities

• Meet standard performance targets (Quality, TAT, NPS).
• Communicate and resolve customer/broker queries via email or call.
• Work independently with minimal supervision and follow process guidelines.
• Identify process failures and propose remediation plans in verbal, written, or PPT formats.
• Maintain expert knowledge of Eligibility processes and flag gaps to Leadership.
• Ensure compliance with internal policies, external regulations, and information security standards.
• Adhere to company policies, work location changes, and flexible work arrangements.

Skills

SOP interpretation

MS Office

Verbal & written communication

Night shift adaptability

Attention to detail

Team collaboration

Process remediation

Education

Bachelor's degree (B.Com/BA) or equivalent

Tools

MS Word

MS Excel

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities

• Be able to meet standard performance targets like Quality, TAT, NPS, etc…
• Be able to clearly communicate and resolve customer/broker queries either through email/call.
• Work independently with minimum supervision and adhere to all process guidelines
• Be able to communicate process failures and propose remediation, as well as developing remediation plans in all variety of mediums (verbal, writing, PowerPoint)
• Maintains expert level knowledge of Eligibility process and provide inputs to Leadership on any process gaps that exist
• Ensure compliance with internal policies and procedures, external regulations and information security standards
• Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements.

Required Qualifications

• Proven good interpretation of SOP guidelines
• Proven eager to take on more responsibilities and should be able to execute the adhoc tasks
• Skills:
  • Minimum understanding of Healthcare terminologies/concepts
  • Proven solid computer skills, including working knowledge of MS applications and keyboarding skills
  • Moderate proficiency with Microsoft Word and Excel
  • Proven excellent communication skills in both verbal & written
  • Proven ability to work in permanent night shift and extended shift as per business need
  • Proven attention to detail - should be quality focused
  • Proven good team player and ability to work with minimal supervision.
  • Proven flexible and adapt basis business need

Preferred Qualification

• A bachelor's degree (B. Com/BA) or equivalent experience

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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