Responsibilities
This position requires experienced candidate. The AR Associate is responsible for the accounts receivable aspects of the client-focused revenue cycle operations and must display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership.
Required Skillset:-
§ Responsible for the accurate processing and completion of medical claims.
§ Process claims, that route out of automatic adjudication, within current turnaround standards.
§ Proficiency in product lines applicable to processing unit.
§ Ability to understand and apply plan concepts to include:• Deductible• Coinsurance• Copay• Out-of-pocket• Maximums, inside limits and exclusions• State variations
§ Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits.
§ Adhere to quality improvement initiatives
§ Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards
§ Special Projects as required
Qualification and Work Experience• Graduate• 12+ months and above experience in healthcare accounts receivable (Denial Management)• Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information• Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers)• In-depth working knowledge of the various applications associated with the workflows• Solid knowledge and use of the American English language skills with neutral accent• Proficient in MS Office software; particularly Excel and Outlook• Proven ability to communicate effectively with all internal and external clients• Proven ability to use good judgment and critical thinking skills; ability to identify and resolve problems• Proven efficient and accurate keyboard/typing skills• Proven solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction
Skills Required
ü Good Communication Skills.
ü Well versed with MS Office and PC Skills.
ü High productivity and Quality benchmark.
ü Good Analytical abilities and Detail oriented.
ü Process adherence orientation.
ü Ability to work with minimum supervision.
ü Open to work in shifts (evening).
Skills Required
- Graduate
- 12+ months experience in healthcare accounts receivable (Denial Management)
- Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information
- Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers)
- In-depth working knowledge of the various applications associated with the workflows
- Proficient in MS Office software, particularly Excel and Outlook
- Solid American English language skills with neutral accent
- Proven ability to communicate effectively with internal and external clients
- Proven ability to use good judgment and critical thinking skills to identify and resolve problems
- Efficient and accurate keyboard/typing skills
- Demonstrated high productivity while maintaining quality standards
- Good analytical abilities and detail oriented
- Ability to work with minimum supervision
- Willingness to work shifts (evening)
- Process claims that route out of automatic adjudication within current turnaround standards
Optum Compensation & Benefits Highlights
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Leave & Time Off Breadth — PTO accrues each pay period with eight paid U.S. holidays plus a floating holiday, and generous time away is consistently emphasized. This breadth supports planned and unplanned time off beyond standard vacation days.
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Parental & Family Support — Six weeks of paid parental leave, up to two weeks of paid caregiver leave, Bright Horizons back‑up care, and adoption assistance signal strong family-oriented support. EAP access with counseling sessions further extends help to employees and their households.
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Wellbeing & Lifestyle Benefits — Company‑paid short‑ and long‑term disability, Calm app membership, tuition reimbursement, commuter and FSA accounts, and broad employee discounts expand everyday wellbeing resources. Free or low‑cost virtual visits complement these lifestyle supports.
Optum Insights
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
