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 perks 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.
Eligibility: Graduate with 18+ months of experience in AR Calling, including both Physician Billing and Hospital Billing where Hospital Billing is mandatory and should have experience in Denial Management within the RCM/AR domain.
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 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
📌 Collections Representative (Hyderabad)
🏢 Optum India
📍 Hyderabad
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