Optum Global Solutions walk-in for Senior Associate
Company :
Optum Global Solutions
Website :
Job Role :
Senior Associate
Eligibility :
Any Graduate
Experience :
2 - 3 Years
Job Location :
Walk-In Date :
12 Mar 2020
Walk-In Time :
02:00 PM - 06:00 PM

Company Profile:

We’re a global team of 80,000 people, working collaboratively across the health system to improve care delivery, quality and cost-effectiveness. We focus on three key drivers of transformative change: engaging the consumer, aligning care delivery and modernizing the health system infrastructure.
We are connected with and support important decisions across health care.
We help individuals and families make benefit choices and manage their health care dollars.
We help doctors and patients make informed treatment decisions.
We help communities balance quality health services with sustainable costs.
We create solutions that work together, for the good of the health care system.

Job Description:

This position is responsible for patient registration and charge entry for clients who are looking to outsource that function.
Also responsible for all charges that come in electronically though interfaces with other systems.
Data primarily comes in on paper, fax, or through an interface and is then entered into CareTracker.
This position is also responsible for charge review, billing and claims manager edits.
Associates are encouraged to communicate with clients through the "to do" system for standard cut and paste requests.
This position takes direction from their Assistant Manager.

Job Responsibilities:

Accurate processing and completion of medical claims.
Process claims that route out of automatic adjudication, within current turnaround standards.
Proficiency in product lines applicable to processing unit.
Understand and apply plan concepts to include: Deductible, Coinsurance, Co-pay, State variations.
Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits.
Recognize potential pre-existing conditions, misstatements and fraudulent claims.
Process correspondence and requests for reconsideration within time service standards.
Use pre-approved electronic letters as well as handwritten letters to communicate with customers, providers, attorneys, regulators and other external entities.
Adhere to quality improvement initiatives.
Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.
Special projects as required.

Eligibility Details:

Should be comfortable with Night Shifts (Both Side Cabs will be provided).
Should be a Graduate.
Minimum 18 months of experience in AR Calling (Denial management) is mandatory for this role.
We are hiring for Noida location only.

Venue Details:

OPTUM, a UnitedHealth Group company,
Ground floor, Tower - D 3Cs Oxygen SEZ,
Sector - 144, Noida - 201 301.