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Senior Claims Associate Jobs in Noida - Optum Global Solutions India Private Limited

Senior Claims Associate
Optum Global Solutions India Private Limited
Any Graduate
1 Years
Optum Global Solutions India Private Limited
Last Date 08 May 2020
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Optum Global Solutions India Private Limited - Job Details

Date of posting: 09 Mar 20
Senior Claims Associate| Noida| AR calling/Charge Entry/Payment Posting (865036)

Primary 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


Required Qualifications:

  • College graduate
  • 1+ years of customer service experience analyzing and solving customer problems
  • Minimum 6 months of experience in Medical Billing (Payment Posting/AR Calling/Charge Entry)
  • Experience working in the healthcare industry
  • Experience working with claims and/or recovery
  • Proficiency with computer and Windows PC applications

Job Summary

Job Type : Full Time
Job Role : Others
Job Category : Others
Hiring Process : Face to Face Interview
Who can apply : Experienced (1 Years)

About Optum Global Solutions India Private Limited

The Optum Ireland, part of the UnitedHealth Group family of businesses, Automation Centre of Excellence is an exciting new venture that’s passionate about process automation. We support the organization through the delivery of automation solutions, using existing, new and emerging technologies to enhance savings, improve productivity and quality and reduce cost.
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