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UnitedHealth Group Senior Claims Associate - AR - Gurgaon, HR in Gurgaon, India

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

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.

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

  • Ensure all workflow items are completed within the set turn-around-time within quality expectations

  • 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 different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

  • Graduation

  • 6-18 months and above of experience in healthcare accounts receivable

  • AR follow up and denial management experience

  • Accounts Receivable Specialist with understanding of the whole accounting cycle / claim life cycle

  • Strong knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers)

  • Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information

  • In-depth working knowledge of the various applications associated with the workflows

  • Ability to analyze EOBs and denials at a claim level and find trends impacting dollar and numbers, leading to process improvements

  • Strong knowledge and use of the American English language skills with neutral accent

  • Ability to communicate effectively with all internal and external clients

  • Ability to use good judgment and critical thinking skills; ability to identify and resolve problems

  • Proficient in MS Office software; particularly Excel and Outlook

  • Efficient and accurate keyboard / typing skills

  • Possess a strong work ethic and a high level of professionalism with a commitment to client / patient satisfaction

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Job Keywords: Senior Claims Associate, Claims Associate, Claims, AR, Healthcare Accounts Receivable, Accounts Receivable, Healthcare, Denial Management, Accounts Receivable Specialist, Claim Life Cycle, Medical Insurance, HMO, PPO, Medicare, Medicaid, Private Payers, HIPAA, Gurgaon, HR, Haryana