Process Associate Job Openings in Chennai 2025!!!
Optum has announced a job vacancy for the position of Process Associate. The posting location will be Chennai. Candidates who have completed Graduate / Engineering / Post Graduate degrees, with Fresher or Experience, are eligible to apply. More details about the qualification, job role, and responsibilities are provided below.
Company Overview
| Name of the Company | Optum |
| Required Qualifications | Any Graduate / Post Graduate |
| Skills | MS Office tools (Excel, Word and PowerPoint) |
| Category | Medical & Clinical Operations |
| Work Type | Onsite |
Optum is a global organization committed to improving health outcomes through technology-enabled care solutions. The work you do will support their mission of connecting people with the pharmacy benefits, resources, and data they need to lead healthier lives. You will be part of an inclusive workplace with strong peer collaboration, career growth programs, and opportunities to contribute to global health improvement. This role may involve tasks related to healthcare process automation solutions, clinical operations workflow management, and supporting medical claims processing optimization for enhanced patient service quality.
They are looking for an immediate joiner with relevant exposure to investigation processes, fact finding, documentation review, and analytical assessments.
Job Details
Θ Positions: Process Associate
Θ Job Location: Chennai
Θ Salary: As per company standards
Θ Job Type: Full Time
Θ Requisition ID: 2317106
Roles and Responsibilities:
- Manage the administrative intake of members.
- Coordinate with hospitals, clinics, facilities, and clinical teams to process service requests from members and providers.
- Handle incoming and outgoing referrals and prior authorizations, including intake, notifications, and census activities.
- Assist clinical teams by preparing documents and triaging cases for Clinical Coverage Review.
- Address inquiries and provide resolutions to members and providers.
- Ensure adherence to company policies, employment terms, and operational guidelines, including potential changes in shifts, work locations, or responsibilities based on business needs.
- Support documentation and compliance needs related to health information management systems and HIPAA-compliant data handling processes.
Required Skills & Qualifications:
- Any undergraduate or postgraduate can apply (except Medical Science and Life Science graduates).
- Knowledge of HIPAA laws and confidentiality guidelines for protected health information.
- Strong proficiency in MS Office tools (Excel, Word, PowerPoint).
- Ability to identify documentation and medical record formats and make decisions within job responsibilities.
- Experience collaborating in team environments with cross-functional stakeholders.
- Willingness to work occasional off-hour schedules if required.
- Strong data analysis skills combined with effective communication abilities.
- High attention to detail and self-motivation to complete tasks on time.
- Strong organizational and basic analytical skills.
- Preferred: Experience in the healthcare domain, especially in areas involving patient data validation workflows.
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