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Associate Collections Representative - Fresher

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Optum

1mo ago

  • Job
    Full-time
    Entry Level
  • Accounting & Tax
    Healthcare
  • Hyderabad, +1

AI generated summary

  • You must be a graduate (not BE/B.Tech) with strong American English skills, knowledge of HIPAA, MS Office proficiency, effective communication, good judgment, and a professional work ethic.
  • You will review insurance balances, analyze trends in AR, resolve claim issues, complete workflow tasks promptly, analyze EOBs and denials, and assist with additional duties as assigned.

Requirements

  • Graduate (BE/B.Tech are not eligible)
  • Solid knowledge and use of the American English language skills with neutral accent
  • 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
  • Proficient in MS Office software; particularly Excel and Outlook
  • Proven ability to communicate effectively with all internal and external clients
  • Proven ability to use good judgment and critical thinking skills; ability to identify and resolve problems
  • Proven to be efficient and accurate keyboard/typing skills
  • Proven to possess a solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction

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
  • Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle
  • Ensure all workflow items are completed within the set turn-around-time within quality expectations
  • Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and #'s, leading to process improvements
  • 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

FAQs

What is the job title for this position?

The job title is Associate Collections Representative - Fresher.

What are the primary responsibilities of the Associate Collections Representative?

The primary responsibilities include reviewing outstanding insurance balances, analyzing and trending data, ensuring workflow items are completed on time, analyzing EOBs and denials, and performing other assigned duties.

What is the required educational qualification for this position?

The required qualification is a graduate degree; however, BE/B.Tech graduates are not eligible.

Is knowledge of HIPAA rules and regulations necessary for this role?

Yes, functional knowledge of HIPAA rules and regulations and experience related to privacy laws are required.

What software skills are necessary for the Associate Collections Representative position?

Proficiency in MS Office software, particularly Excel and Outlook, is necessary for this position.

What type of communication skills are expected from the candidates?

Candidates are expected to have proven ability to communicate effectively with all internal and external clients.

Are there any typing skills required for this job?

Yes, candidates must demonstrate efficient and accurate keyboard/typing skills.

What qualities are emphasized for the candidates applying for this role?

Candidates should possess a solid work ethic, high professionalism, critical thinking skills, good judgment, and a commitment to client/patient satisfaction.

What does the company value regarding health equity?

The company is committed to advancing health equity, addressing barriers to good health, and improving health outcomes for historically marginalized groups and those with lower incomes.

Is previous experience in accounts receivable necessary for freshers applying for this role?

While prior experience can be beneficial, the position is open to freshers who meet the educational and skill requirements listed in the job description.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.