Name of Organization Or Company Name :Optum Global Solutions Pvt Ltd

Job Role Or Post Name:Associate/Senior Associate

Educational Qualification:Any Graduate

Experience: 0-2 Years

Job Location:Hyderabad

Salary:₹ 1,00,000 to 3,00,000 P.A.

Job Description:Candidates are responsible for patient registrations and charge entry for the people who are looking to outsource those functions.

 Accurate processing and completion of medical claims
Process claims the route out of automatic adjudication, within current turnaround standards
Proficiency in the product lines applicable to the processing unit.
Should understand & apply plan concepts to include: Deductible, Coinsurance, Co-pay, State variations
Recognize the issues related to variable deductible, coordination of benefits, carve-out and alternate benefits
Recognize the potential pre-existing conditions, misstatements and fraudulent claims
 Process correspondence & 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 the minimum requirements while maintaining quality standards
 Special projects as require

Desired Profile:1. Must be a graduate

2. Ready to work for rotational shifts and night shifts
3. Must have experience in the healthcare industry
4. Also, experience in claims and receiving
5. Expert in computer and Windows PC applications
6. must have 0-2 years of experience in AR Calling, and denial management is mandatory.

Document Required:1. An updated resume copies

2. Educational Marks memos
3. Experience Certificate
4. Last three months payslips
5. Government id proofs
6. Recent Photographs

Venue: 31st Dec 2019, 11 AM to 3 PM OPTUM, 5th, 6th and 7th Office Level, Building No. 14, Sundew Properties SEZ (Mindspace), APIIC Layout, Survey No. 64 (Part), Hitech City, Madhapur, Hyderabad, Andhra Pradesh – 500 081