• 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
Role: Non Voice - Other
Industry Type: BPM / BPO
Department: Customer Success, Service & Operations
Employment Type: Full Time, Permanent
Role Category: Non Voice
Optum Global Solutions is a subsidiary of UnitedHealth Group (UHG), a global health technology and business services company. Optum Global Solutions India, with its headquarters in Bangalore, focuses on providing healthcare technology and business services, including digital health solutions, to improve healthcare quality and reduce costs