Primary responsibilities:
Accurate processing and completion of medical claims
Process claims that route out of automatic adjudication, within current turnaround standards
Demonstrate proficiency in product lines applicable to processing unit
Understand and apply plan concepts: deductible, coinsurance, copay, out-of-pocket, state variations
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:
Graduation (btech / be / mca / mba / b pharm / m pharm are not eligible to apply)
0 – 2 years of experience in healthcare domain
Good communication skills written and verbal
Good typing speed (english) and accuracy
Result-oriented and goal-driven
Analytical ability: research skills combined with effective decision-making and superior interpersonal skills
Strong verbal and written communication skills
Ability to accept constructive criticism with being coached and growing as a professional
Critical thinking abilities
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Ability to remain focused and productive each day though tasks may be repetitive
Willing to work night shifts
Careers with optumHere`s the ideaWe built an entire organization around one giant objective; make the health system work better for everyoneSo when it comes to how we use the world`s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serveOptum, part of the unitedhealth group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potentialFor you, that means working on high performance teams against sophisticated challenges that matterOptum, incredible ideas in one incredible company and a singular opportunity to do your life`s best work.(sm)
Job keywords: claims associate, claims, healthcare, health care, gurgaon, hr, haryana
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