Optum is Hiring: Optum is looking for Associate Collections Representative / Appeals Representative Associate / Manager Coding / Medical Coding Analyst / Claims Representative Associate candidates in Hyderabad / Noida / Bangalore / Chennai / Gurgaon. The position is accessible to individuals with Fresher and qualifications such as Graduate. The projected annual compensation for this position ranges between 3 lakhs and 4 lakhs.
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Optum is Hiring for 100+ Job Openings in India – Details
Optum Jobs 2024 Details : | |
Company Website | www.optum.com |
Company | Optum |
Roles | Associate Collections Representative / Appeals Representative Associate / Manager Coding / Medical Coding Analyst / Claims Representative Associate |
Qualification | Graduate |
Location | Hyderabad / Noida / Bangalore / Chennai / Gurgaon |
Work Experience | Fresher |
Salary | 3 lpa-4 lpa |
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Jobs in Optum – Skill & Requirement
Job Role | Associate Collections Representative / Appeals Representative Associate / Manager Coding | ||||
Qualifications: | Graduate | ||||
Experience: | Fresher | ||||
Job Type: | Full Time | ||||
Location: | Hyderabad / Noida / Bangalore | ||||
Skills/Requirements: | |||||
Responsibilities : Associate Collections Representative: 1. Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment; including coordinating with payers, patients and clients when appropriate 2. Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR 3. Accounts Receivable Specialist that has an “understanding” of the whole accounting cycle / claim life cycle 4. Ensure all workflow items are completed within the set turn-around-time within quality expectations Appeals Representative Associate: 1. Appeals resolution with high accuracy and timeliness to ensure individual and business metrics are met 2. Conducts research in claims history and coordinates with business partner to make decision to uphold or overturn claims decision 3. Read and comprehend incoming appeals and supporting documentation 4. Read and comprehend written operating procedural steps Manager Coding: 1. May oversee work activities of other supervisors. 2. Adapts departmental plans and priorities to address business and operational challenges. 3. Influences or provides input to forecasting and planning activities. 4. Product, service or process decisions are most likely to impact multiple groups of employees and/or customers Skills : Associate Collections Representative: 1. Solid knowledge and use of the American English language skills with neutral accent 2. Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information 3. In-depth working knowledge of the various applications associated with the workflows 4. Proficient in MS Office software; particularly Excel and Outlook 5. Proven ability to communicate effectively with all internal and external clients. Appeals Representative Associate: 1. Proven good communication skills written and verbal 2. Proven good typing speed (English) and accuracy 3. Proven result-oriented and goal-driven 4. Ready to work in late night shifts (6 PM & 9 PM login) & to work on weekends 5. Work from Office and rotational shifts Manager Coding: 1. Proficient in programming languages (such as Python, Java, and C++) for software creation and issue resolution. 2. A thorough understanding of software architecture, design patterns, and code optimization techniques. 3. Leadership abilities include managing teams, coordinating project timeframes, and driving software development processes. 4. Experience with version control systems (e.g., Git), CI/CD pipelines, and Agile techniques for efficient development workflows. |
Optum (Associate Collections Representative): Apply Link
Optum (Appeals Representative Associate): Apply Link
Optum (Manager Coding): Apply Link
Jobs in Optum – Skill & Requirement
Job Role | Medical Coding Analyst / Claims Representative Associate | ||||
Qualifications: | Graduate | ||||
Experience: | Fresher | ||||
Job Type: | Full Time | ||||
Location: | Chennai / Gurgaon | ||||
Skills/Requirements: | |||||
Responsibilities : Medical Coding Analyst: 1. Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines 2. Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation 3. Be able to extract and code various screening CPT codes and HCPCS codes from the documentation 4. Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Claims Representative Associate: 1. Interpret and/or verify contract language, information, and intent to load pricing information into systems properly 2. Load/Audit provider contract or implement updates and amendments 3. Interpret existing contracts to identify potential problems or issues needing correction 4. Provide input/suggestions on projects related to business rules and procedures Skills : Medical Coding Analyst: 1. Life Science Graduates or Allied Medicine Graduates 2. Certified coder through AAPC or AHIMA 3. Certifications accepted include CPC, CCS, CIC and COC – Anyone 4. Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Claims Representative Associate: 1. Proven good communication skills written and verbal 2. Proven ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product 3. Proven ability to remain focused and productive each day though tasks may be repetitive 4. Proven good typing speed (English) and accuracy. |
Optum (Medical Coding Analyst): Apply Link
Optum (Claims Representative Associate): Apply Link
HOW TO APPLY ?
To apply for the Optum – interested candidates must follow the procedure outlined below:
- Click on the “Apply here” button provided below. You will be redirected to company official career page.
- Click on “Apply Online”.
- If you have not registered before, create an account.
- After registration, login and fill in the application form with all the necessary details.
- Submit all relevant documents, if requested (e.g. resume, mark sheet, ID proof).
- Provide accurate information in your application.
- Verify that all the details entered are correct.
- Submit the application process after verification.
Apply for Job Base on Location,Role & Qualification | ||
Jobs By Location | Jobs By Role | Jobs By Qualification |
Hyderabad | Sales Executive Jobs | 10th Pass/12th Pass |
Bangalore | HR Jobs | Any Graduate |
Mumbai | Accounting Jobs | BCOM/MCOM |
Gurgaon | Customer Service Jobs | MBA/PGDM |
Kolkata | IT software Jobs | BCA/MCA |
Pune | Account Receivable / Account Payable Jobs | Work from Home |
Chennai | Relationship Manager | BE/BTECH/ME/MTECH |
Kochi | Finance Jobs | Diploma |
Coimbatore | Other Jobs | Other Degrees |
About Optum company :
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.
Jobs in Optum – Frequently Asked Question?
What are the duties of a collections representative?
Collections professionals are responsible for making phone calls, sending emails and taking other steps to ensure customers make payments.
What is the role of a claims representative associate?
Claims representatives work for insurance companies to settle claims through the evaluation of facts of a customer’s situation surrounding their claim. They are responsible for determining whether the loss is covered and what compensation should be.
What is the objective of claims representative?
Claims representatives typically work for insurance companies. They investigate claims made by policyholders to corroborate the accuracy of the filing and determine payouts and reimbursements.
DISCLAIMER:
The Recruitment Information Provided above is for Informational Purposes only . The above Recruitment Information has been taken from the official site of the Organization. We do not provide any Recruitment guarantee. Recruitment is to be done as per the official recruitment process of the company. We don’t charge any fee for providing this job Information.