Job Description:
Complete the full cycle of Identification, Validation, Enrollment and Billing procedures related to
members
Work on the customers applications, eligibility and fallouts arising out of discrepancies in the
systems
Ensure the accuracy and completeness of applications taken
Billing activity includes monthly generation of member premium bills and payments received to
fulfill those bills
Correct all Billing discrepancies in a way that member no longer owes money
Changes in Payment types as requested by Member
Complete Account reconciliation of members post terminating the member from Services
Works flexibly and cooperatively under supervision with all team members
Completes all responsibilities according to established protocols, policies and standard practices
plus adhere to regulatory compliance programs such as HIPPA
Skills Required
Good verbal and written communication skills,
Ability to multi-task, Critical thinking abilities, open and ready to work on feedback
Quality focused, Good Analytical skills.
Proficiency with Windows, MS Office and basis computer skills
Demonstrate skills necessary to interpret regulations and guidelines
Ability to interact positively with internal and external customers
Eligibility Criteria
At least 6 months of experience in preferably in health care domain and preferably with
experience of working in night shift
Proficiency in Microsoft Office Suite
Must be an Graduate from an recognized university (No B.Tech, MCA or IT related degree)
Should be willing to work from Office
Typing - 20 WFM with 90% Accuracy
Should have the ability/resources to WFH if required

Keyskills: Claims Processing Healthcare Domain US Healthcare Enrollment Processing Medical Billing Accounts Reconciliation
About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...