Supervisor - Denial Management | AR Calling

2 days ago

Greater Noida, Uttar Pradesh, India Optum Full time

Description - External

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

We are currently looking for dedicated professionals to fulfill the following job 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

Qualifications - External

Required Qualifications:

Bachelors degree

  • 5+ years of collections experience in other aspect of RCM(Infusion, Patient collections, Ambulatory, Professional claims). Hospital Billing experience
  • 3+ years of experience in AR Follow up and Denial Management
  • 2+ years of experience in Team Handling (Min Span of 15 people)
  • Hands-on experience in US Healthcare Revenue Cycle Management - AR Calling and Denial Management
  • US Healthcare- Provider Hospital A/R experience
  • Exposure to people management, Performance Management and Client Management
  • Solid proficiency in MS Office
  • Proven capability to handle onshore customers individually
  • Proven excellent Interpersonal skills
  • Sound Reporting/ MIS skills
  • From US Healthcare industry
  • Open to Night Shifts and work on Indian Holidays

Preferred Qualifications:

  • Six Sigma Knowledge / Certified/ Trained
  • Transition Experience

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