Job Summary
Optum is hiring a Collections Representative – US Healthcare/RCM/AR Calling in Noida, Uttar Pradesh. This role involves managing accounts receivable (AR) operations, performing denial management, analyzing claims, and improving the revenue cycle process. The ideal candidate will have strong knowledge of medical insurance, HIPAA regulations, and claim life cycles.
Responsibilities
Review outstanding insurance balances to resolve issues preventing claim payment.
Coordinate with payers, patients, and clients to ensure timely AR follow-up.
Analyze and trend data to improve first-pass denial rates and reduce AR aging.
Interpret EOBs, manage claim denials, and suggest process improvements.
Complete all workflow tasks within specified turnaround times and quality standards.
Provide feedback to leadership on trends, issues, and recommendations.
Perform additional duties as assigned, adhering to all SOPs and company policies.
Required Skills & Qualifications
Graduate degree (mandatory).
12+ months of experience in healthcare accounts receivable/denial management.
Strong understanding of HIPAA regulations and privacy laws.
Functional knowledge of HMO, PPO, Medicare, Medicaid, and private payers.
Proficiency in MS Office (Excel and Outlook).
Excellent communication skills with a neutral American English accent.
Strong analytical and problem-solving skills.
High attention to detail and accurate typing/keyboard skills.
Perks & Benefits
Competitive compensation package.
Career growth opportunities in healthcare revenue cycle management.
Employee wellness programs and benefits.
Work with a global leader in healthcare technology and services.
Company Description
Optum, part of UnitedHealth Group, is a global healthcare leader delivering technology-driven solutions, data analytics, and revenue cycle management services. The company focuses on improving healthcare systems and outcomes for millions of people worldwide.
Work Mode: On-site – Noida, Uttar Pradesh
Call-to-Action
Looking to advance your career in US healthcare AR and denial management? Apply now for the Collections Representative role at Optum, Noida and become part of a team driving impactful healthcare solutions.
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