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Junior Process Executive - MRR @ Optum

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 Junior Process Executive - MRR

Job Description

The Junior Process Executive - MRR will be responsible for retrieving medical records from various healthcare facilities on behalf of health plans and other clients for retrospective and prospective reviews.

This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours.

Primary Responsibilities:

  • Retrieve Medical Records, remotely, from healthcare providers and facilities ensuring all records are obtained in a timely and accurate manner
  • Ensure compliance with all US federal and state regulations related to medical record retrieval
  • Review medical records to ensure completeness and accuracy
  • Utilize electronic health record systems to retrieve and store medical records
  • Assists in team building and ensuring teamwork
  • Maintain a detailed and accurate tracking system to monitor the progress of medical record retrieval requests
  • Communicate with internal teams regarding the status of medical record retrieval requests
  • Participate in the development and implementation of process improvements including software/hardware functionality, testing, and implementation to increase efficiency and accuracy
  • Requires an individual to maintain the ability to work in an environment with PHI / PII data
  • Performs Quality Assurance and Quality Control assessments on request
  • Identifies areas of potential growth opportunity for the company and any process improvements to reduce issues
  • May be assigned other duties, including supporting other departments
  • Must maintain compliance with all company policies and procedures
  • 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:

  • Any degree must be completed
  • 6+ months of experience in BPO (Non voice process) with good communication skill
  • Experience with Microsoft Word, Microsoft Excel (data entry, sort or filter, and work within tables) and Microsoft Outlook (email and calendar management)
  • Willing to work in different shifts or Saturdays and on Indian holidays

Preferred Qualification:

  • Knowledge of US Healthcare Industry

Soft Skills:

  • Solid attention to detail
  • Problem solving skills, and attention to detail
  • Excellent Verbal and written communication skills, including ability to effectively communicate with internal and external customers
  • Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
  • Ability to work independently and as part of a team
  • Ability to prioritize tasks and manage multiple projects simultaneously and carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
  • High level of ethics, integrity, discretion, and confidentiality

Job Classification

Industry: Retail
Functional Area / Department: Customer Success, Service & Operations
Role Category: Non Voice
Role: Non Tech Support - Non Voice
Employement Type: Full time

Contact Details:

Company: Optum
Location(s): Chennai

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Keyskills:   compliance voice process quality control quality assurance customer service non voice

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Optum

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, ...