Collections Representative

Optum India; Chennai District; On-site; INR 350,000 - 550,000; Full time

Job summary

Optum India is seeking an AR Associate to manage accounts receivable within client-focused revenue cycle operations. The role requires 1.5+ years of healthcare AR experience, strong HIPAA knowledge, and proficiency in MS Excel and Outlook.

You will review balances, analyze denials, and collaborate with payers, patients and clients to optimize cash flow while adhering to SOPs and company policies. The AR Associate will ensure timely completion of workflow items, identify denial trends, and

Qualifications

• Graduate with 1.5+ years of experience in healthcare accounts receivable (Denial Management)
• Strong knowledge of HIPAA rules and regulations
• Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid)
• Proficient in MS Office, especially Excel and Outlook
• Excellent communication with internal and external clients
• Good judgment, problem-solving, and professional work ethic

Responsibilities

• Review outstanding insurance balances to identify issues delaying claim payment
• Coordinate with payers, patients, and clients to resolve denials
• Analyze data to reduce denial rates and improve AR aging
• Ensure all workflow items meet turnaround times and quality standards
• Identify trends in EOBs and denials to drive process improvements
• Adhere to employment contracts, policies, and directives

Skills

Communication

Critical thinking

Typing

MS Office

Education

Graduate

Tools

MS Excel

Outlook

Job description

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.

The AR Associate is responsible for the Accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership.

Primary Responsibilities

• 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
• Be 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
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications

• Graduate
• 1.5+ years and above experience in healthcare accounts receivable required (Denial Management)
• Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information
• Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers)
• 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 efficient and accurate keyboard/typing skills
• Proven solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction

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.