Collections Representative
Optum
Hyderabad1–5 yrs1d agovia Naukri
This walk-in drive ended on Wed 14 Oct.
About the Role
Optum is a global organization dedicated to improving health outcomes through technology and care. The AR Associate plays a crucial role in client-focused revenue cycle operations, managing accounts receivable and ensuring smooth claim finalization.
Key Responsibilities
- Review outstanding insurance balances to identify and resolve issues preventing claim payment finalization.
- Coordinate with payers, patients, and clients as needed for claim resolution.
- Analyze and trend data to recommend solutions for improving first-pass denial rates and reducing overall AR aging.
- Ensure all workflow items are completed within set turnaround times and quality expectations.
- Analyze EOBs and denials at a claim level to identify trends impacting dollar amounts and numbers, leading to process improvements.
- Perform other duties as assigned.
- Comply with all company policies and procedures.
Requirements & Tech Stack
- Healthcare accounts receivable experience (18+ months).
- Experience in Denial Management.
- Hospital Billing experience (1+ Years).
- Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers).
- In-depth working knowledge of various applications associated with workflows.
- Proficient in MS Office software, particularly Excel and Outlook.
- Proven ability to use good judgment and critical thinking skills.
- Efficient and accurate keyboard/typing skills.
Qualifications
- Graduate (10+2+3).
- Solid knowledge and use of American English language skills with a neutral accent.
- Functional knowledge of HIPAA rules and regulations.
- Experience related to privacy laws, access, and release of information.
- Proven ability to communicate effectively with all internal and external clients.
- Proven solid work ethic and a high level of professionalism.
- Commitment to client/patient satisfaction.