Oprational Trainer

• Experience in the US healthcare industry with acute and ambulatory billing
• Experience in healthcare revenue cycle management services, with understanding of upstream and downstream
• Worked as AR representative and effectively implemented the experiential learning in the new hire batches
• In-depth knowledge of denial management and appeal writing for both administrative and clinical denials
• In-depth knowledge of Acute and Ambulatory specialties with understanding of associated diagnosis, procedure and denials
• Comprehensive knowledge of UB04 claim form component, including proper inpatient coding, revenue codes, procedure codes, and regulatory requirement
• Familiarity with insurance guidelines (Medicare, Medicaid, commercial payers) and their plans
• Expertise in handling inpatient claims and understanding payment methodologies- DRG classifications, bundled payment models)
• Proficiency in understanding coding denials and code sets (ICD-10, CPT04, HCPCS) and understanding of medical records
• Demonstrated ability to analyze AR claim as end to end and identify the root cause and faster resolution
• Demonstrated ability to handle multiple geos - US/PR/PHL/IND
• Proven solid analytical and problem-solving skills
• Proven excellent communication and leadership abilities

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.