Collections Representative – Chennai, Tamil Nadu, India
Requisition Number: 2323686
Job Category: Billing
About the Role
Optum, a global leader in health services and technology-enabled care, is seeking a skilled Collections Representative to support end-to-end Accounts Receivable (AR) operations. This role directly contributes to improving financial performance and ensuring accurate revenue cycle processes for healthcare clients. The position requires strong analytical skills, proficiency in AR workflows and the ability to resolve claim-related issues efficiently.
This opportunity offers access to global healthcare systems, cross-functional collaboration, career development pathways and an inclusive work environment.
Key Responsibilities
Review and analyze outstanding insurance balances to identify issues impacting claim finalization.
Coordinate with payers, patients and clients to resolve claim discrepancies and facilitate payment.
Evaluate Explanation of Benefits (EOBs) and denial patterns to recommend process improvements.
Identify trends affecting AR performance, contributing to reduced aging and improved denial resolution.
Ensure timely completion of all workflow items within defined turnaround times and quality benchmarks.
Demonstrate understanding of the complete claim life cycle and core accounting concepts related to AR.
Support leadership by reporting issues, trends and recommendations for continuous improvement.
Perform additional duties as required, while adhering to organizational policies, reassignment requirements and workplace flexibility guidelines.
Required Qualifications
Education: Graduate degree in any discipline.
Experience:
Minimum 1.5 years of experience in Healthcare Accounts Receivable (Denial Management) is mandatory.
Technical & Domain Skills:
Strong understanding of HIPAA regulations, privacy laws and information release protocols.
Solid knowledge of medical insurance types including HMO, PPO, Medicare, Medicaid and private payers.
Proficiency in AR applications, workflow tools and hospital billing systems.
Advanced skills in MS Excel, Outlook and general MS Office applications.
Professional Competencies:
Excellent communication skills for collaboration with internal teams and external stakeholders.
Strong judgment, critical thinking and problem-solving abilities.
High typing accuracy, attention to detail and adherence to quality standards.
Demonstrated professionalism, work ethic and commitment to client satisfaction.
Why Join Optum?
Optum offers a globally integrated environment with a strong focus on innovation, growth and operational excellence. You will join a team that supports healthcare organizations worldwide while contributing to improved health access and financial efficiency.
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