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. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Primary Responsibilities:
Accurate and timely documentation of claims data
Ensure accurate and timely delivery of data to Team Liaison
Ensure that performance metrics are achieved and Building and maintaining an effective Team environment within the Network Intelligence group
Build and maintain effective relationships with internal customers (i.e. Team Liaison, US Team Leads/Supervisors, Managers and Directors etc.)
Coordinate with the Team to identify process improvement opportunities
Monitor, measure and report Team performance metrics and implement Team incentive programs
Deliver/facilitate training (both new and ongoing)
Partner with leadership to promote department revenue and business objectives
Provide feedback to management on individual and group training results
Review and update training materials as needed
Routinely analyze quality results to report error trends
Identify root causes of errors and opportunities for defect reduction
Analyze and develop overall improvement plans (department and individual)
Administrative responsibilities 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
Required Qualifications:
Should have Bachelor Degree
Minimum 3 years of experience in RCM industry
Minimum of 18 months experience in Team Handling (Min Span of 15 people)
Should have 3 plus years of experience in AR Follow up and Denial Management
Hands on experience in US Healthcare Revenue Cycle Management - AR Calling and Denial Management
US Healthcare - Provider experience
Should have capability to handle onshore customers individually
Proven excellent Interpersonal skills
Solid Proficiency in MS Office
Sound Reporting/ MIS Skills
Exposure to all the facets of Operation Management
Exposure to people management, Performance Management and Client Management
Should be from US Healthcare industry
Open to Night Shifts
Preferred Qualifications:
Six Sigma Knowledge / Certified/ Trained
Transition Experience
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.