Collections Representative – US Health Care / RCM / AR Calling
Location: Chennai, Tamil Nadu, India
Department: Billing
Requisition Number: 2290942
Job Summary:
Optum is seeking a Collections Representative experienced in US healthcare, revenue cycle management (RCM), or AR calling for its growing operations in Chennai. This role is critical in managing account receivables, resolving claim denials, and driving revenue cycle efficiencies for healthcare clients.
Key Responsibilities:
Review outstanding insurance balances and resolve pending claim payments by coordinating with payers, patients, and clients
Analyze denial trends and recommend strategies to improve first-pass resolution and minimize AR aging
Demonstrate understanding of the complete claim life cycle and accounting processes
Ensure timely and accurate completion of assigned workflow items within defined quality parameters
Review Explanation of Benefits (EOBs) and denial patterns, identify trends, and contribute to continuous process improvements
Perform additional tasks as assigned and comply with all organizational policies, including shift flexibility and location transfers as per business needs
Required Qualifications:
Graduate in any discipline
Minimum 1 year of experience in healthcare AR / denial management (Hospital Billing)
In-depth knowledge of medical insurance types (HMO, PPO, Medicare, Medicaid, Private Payers)
Familiarity with HIPAA regulations and patient privacy laws
Working knowledge of AR systems and workflow-related applications
Excellent verbal communication skills in neutral American English accent
Proficient in MS Excel, Outlook, and related MS Office tools
Strong judgment, critical thinking, and problem-solving skills
High typing accuracy and professional work ethic
Committed to delivering superior client and patient satisfaction
Estimated Salary: ₹3.5 LPA – ₹5.5 LPA (based on experience and location norms)
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