Pune Maharashtra Us healthcare claims Jobs – 74 Open Jobs Today

Supervisor Collections
Optum —Pune, Maharashtra
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Microsoft Outlook
- Health insurance
8d
RCM Clerk
Veradigm —Pune, Maharashtra
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Associate Director – Training
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Master's degree
- Project management
- Bachelor's degree
Director – Training
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Master's degree
- Project management
- Bachelor's degree
Customer Service Executive
Conviction HR —Pune, Maharashtra
- ₹30,000 - ₹47,000 a month
- Full-time
- Microsoft Word
- English
- Microsoft Office
- Commuter assistance
- Health insurance
Quick apply
OPS Lead/Assistant Manager
FIGmd —Pune, Maharashtra
- Management
- SQL
- Bachelor's degree
Business Analyst(HC)
WAi Technologies —Pune, Maharashtra
- Day shift
- Microsoft Excel
- PMP
- HIPAA
- Paid holidays
- Health insurance
Manager/Lead- Testing(Hybrid – A)
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- HIPAA
Data Analyst (L2/L1)
FIGmd —Pune, Maharashtra
- SQL
- Bachelor's degree
- EMR systems
Business Analyst
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- System design
Senior Manager
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Master's degree
- Databases
- SQL
- Health insurance
Senior Director
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Bachelor's degree
- Health insurance
Senior Consultant - Value and Access
Beghou Consulting —Pune, Maharashtra
- Full-time
- Microsoft Excel
- Microsoft Access
- SQL
Implementation Manager
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- HIPAA
Data Analyst Lead
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Azure
QA Duck Creek Engineer
Persistent —Pune, Maharashtra
- Full-time
- Hybrid work
- Azure
- DevOps
- Bachelor's degree
- Flexible schedule
SQL Developer
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- HIPAA
BI Manager/Lead(IC)
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Microsoft Access
- Azure
- Computer Science
Project Manager
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- HIPAA
Program+Portfolio Manager
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- HIPAA

I want to receive the latest job alerts for us healthcare claims in pune maharashtra

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

us healthcare claims jobs near pune maharashtra

Data Analyst jobs in Pune, Maharashtra

Project Manager jobs in Pune, Maharashtra

SQL Developer jobs in Pune, Maharashtra

Customer Service Representative jobs in Pune, Maharashtra

Business Intelligence Manager jobs in Pune, Maharashtra

Portfolio Manager jobs in Pune, Maharashtra

Senior Director jobs in Pune, Maharashtra

Collection Manager jobs in Pune, Maharashtra

Implementation Specialist jobs in Pune, Maharashtra

Assistant Operations Manager jobs in Pune, Maharashtra

Business Analyst jobs in Pune, Maharashtra

Test Lead jobs in Pune, Maharashtra

Data Analyst jobs in Vaishali Nagar, Jaipur, Rajasthan

Data Analyst jobs in Tambaram, Chennai, Tamil Nadu

Data Analyst jobs in Pithampur, Madhya Pradesh

Data Analyst jobs in Electronics City, Bengaluru, Karnataka

Tata Consultancy Services Tcs, Data Entry jobs in New Town, Kolkata, West Bengal

Business Analyst Us Shift jobs in Remote

Director Of Training jobs in Noida, Uttar Pradesh

Full Training Provided jobs in Hyderabad, Telangana

Supervisor Collections

Optum -
Pune, Maharashtra

Apply Now

Job details

Full-time
8 days ago

Benefits

Health insurance

Qualifications

Microsoft Powerpoint
Microsoft Excel
Microsoft Outlook
Management
HIPAA
Microsoft Office
Analysis skills
Bachelor's degree
Communication skills

Full job description

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:

The implementation and day-to-day performance of process activities related to Accounts Receivable process. These processes include the review of claims, contracts and fee schedules to identify and resolve incorrectly paid/denied/rejected claims and processing, procedural, systemic and billing errors and practices leading to claims denials
The incumbent will actively analyze potential for provider and vendors as well as various internal divisions to ensure that potential recovery opportunities are appropriately identified by fixing the denied/rejected claims
Perform complex claims analysis and audit activities to identify trends, determine root cause of payment inaccuracies, and to recommend / implement process and systems improvements
Ensure that team performance metrics are achieved and maintain an effective Team environment
Build and maintain effective relationships with internal customers (i. e. US Onshore Partners / Supervisors, Managers and Directors etc.)
Monitoring the SLAs, KPIs for the process, identifying improvement areas and implementing adequate measures to maximize customer satisfaction level
Coordinate with the Team to identify process improvement opportunities
Maintain production and quality databases and spreadsheets for analysis and day to day reporting
Partner with leadership to promote department revenue and business objectives
Provide feedback to management on individual and team performance
Identify root cause of errors and opportunities for claims denial reduction
Analyze and develop overall improvement plans (department and individual)
Measuring and tracking team performance
Provide feedback to team members on a regular basis
Review and update process SOP's/documents as needed
Create innovative solutions to an extensive range of complex data requests
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:

Bachelor's degree or equivalent experience (any stream)
5+ years in US healthcare and/or AR claim experience
2+ years of experience in Team Handling (18 - 20 people)
Sound knowledge of RCM (AR, PP & CB)
Extensive knowledge of NextGen, Allscripts, Epic as well as desktop applications
Solid knowledge of US Health care and should have knowledge of AR, CE, CB and PP LOB
Fair understanding of UB04 & HICFA 1500 claim forms
Exposure to all the facets of Operations Management
Exposure to People Management, Performance Management and Client Management
Proficient in MS Office software; particularly Excel and Outlook and PPT's
Proven excellent analytical skills
Proven excellent written and verbal communication skills
Demonstrated solid work ethic and a high level of professionalism with a commitment to client/Management satisfaction and have functional knowledge of HIPAA rules and regulations
Demonstrated ability to communicate effectively both verbally and in writing
Demonstrated ability to analyze data to identify trends and issues
Demonstrated ability to make decisions and work independently
Willing or open to Night Shifts

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.

Apply Now

Refine Your Search

us healthcare claims jobs in pune maharashtra

Supervisor Collections

RCM Clerk

Associate Director – Training

Director – Training

Customer Service Executive

OPS Lead/Assistant Manager

Business Analyst(HC)

Manager/Lead- Testing(Hybrid – A)

Data Analyst (L2/L1)

Business Analyst

Senior Manager

Senior Director

Senior Consultant - Value and Access

Implementation Manager

Data Analyst Lead

QA Duck Creek Engineer

SQL Developer

BI Manager/Lead(IC)

Project Manager

Program+Portfolio Manager

I want to receive the latest job alerts for us healthcare claims in pune maharashtra

Explore jobs in more locations

Jobseeker tools

Employer Tools

Browse

Stay Connected