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:
- The implementation and day-to-day performance of process activities related to Accounts Receivable process. These processes include the review of claims, contracts and fee schedules to identify and resolve incorrectly paid/denied/rejected claims and processing, procedural, systemic and billing errors and practices leading to claims denials
- The incumbent will actively analysis on potential for provider and vendors as well as various internal divisions to ensure that potential recovery opportunities are appropriately identified by fixing the denied/rejected claims
- Perform complex claims analysis and audit activities to identify trends, determine root cause of payment inaccuracies, and to recommend / implement process and systems improvements
- Ensure that team performance metrics are achieved and maintain an effective Team setting
- Build and maintain effective relationships with internal customers (i. e. US Onshore Partners / Supervisors, Managers and Directors etc.)
- Monitoring the SLAs, KPIs for the process, identifying improvement areas and implementing adequate measures to maximize customer satisfaction level
- Coordinate with the Team to identify process improvement opportunities
- Maintain production and quality databases and spreadsheets for analysis and day to day reporting
- Partner with leadership to promote department revenue and business object
📌 Supervisor Collections (Noida)
🏢 Optum
📍 Noida