Experienced Healthcare CSR - Day 1 HMO + Retirement Plan

Optum, a UnitedHealth Group Company; Muntinlupa; Presencial; PHP 420.000 - 660.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Market Competitive Pay Levels

Retirement Plan

Medical Plan (HMO) from Day 1

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Paid Time-Off Benefits

Sick Leave Conversion

Tuition Reimbursement

EAP

Annual Merit Increases

Employee Recognition

Training and Staff Development

Employee Referral Program

Volunteerism Opportunity

All Mandatory Statutory Benefits

Descripción de la vacante

Optum, a UnitedHealth Group Company, is hiring a Patient Care Coordinator in Alabang to support patients through the financial clearance process. You will verify insurance coverage, secure authorizations, explain financial responsibilities, and maintain accurate patient data in line with privacy rules.

The role involves working onsite in Alabang with a focus on customer service, insurance verification, and coordination with healthcare teams to ensure smooth financial clearance for services.

Formación

• At least a high school graduate or senior high school graduate.
• Minimum 1 year of experience in healthcare RCM, healthcare BPO, insurance verification, patient registration, medical billing or related areas.

Responsabilidades

• Verify insurance eligibility, benefits, and coverage details.
• Obtain authorizations, referrals, and pre-certifications.
• Review medical necessity and document as required.
• Estimate patient financial responsibility and communicate it clearly.
• Educate patients on benefits, billing, payment options and assistance programs.
• Collect payments and assist with payment arrangements.
• Complete MSP requirements and related paperwork.
• Maintain accurate patient records per standards.
• Follow privacy and data security regulations.
• Escalate accounts not meeting financial clearance.

Conocimientos

Insurance verification

Authorizations

Patient registration

Healthcare customer service

Medical billing

Payment collections

RCM basics

EMR knowledge

Communication skills

Educación

High school diploma or equivalent

Herramientas

Epic

Cerner

Excel

Word

Outlook

Descripción del empleo

Patient Care Coordinator

Location: 12th Flr. Vector 3 bldg. Northgate Cyberzone Alabang Muntinlupa
Schedule: Night Shift (US Hours)

About the Role

We are looking for a detail-oriented and customer-focused Patient Care Coordinator to support patients throughout the financial clearance process before scheduled healthcare services. In this role, you will work closely with patients, insurance providers, and healthcare teams to verify insurance coverage, secure authorizations, explain financial responsibilities, and ensure all required information is accurately documented.

This position is ideal for professionals with experience in healthcare customer service, revenue cycle operations, insurance verification, patient registration, collections, or related healthcare support functions.

Key Responsibilities

• Verify patient insurance eligibility, benefits, and coverage information.

• Obtain and validate required authorizations, referrals, and pre-certifications.

• Review medical necessity requirements and process applicable documentation when needed.

• Calculate and communicate estimated patient financial responsibility, including out-of-pocket costs.

• Contact patients to verify demographic, insurance, and financial information.

• Educate patients regarding insurance benefits, billing processes, payment options, and financial assistance programs.

• Collect payments and assist patients with payment arrangements when appropriate.

• Complete Medicare Secondary Payer (MSP) requirements and related documentation.

• Maintain accurate and complete patient records in accordance with organizational standards.

• Follow healthcare compliance requirements, privacy regulations, and data security protocols.

• Escalate accounts that do not meet financial clearance requirements.

• Deliver exceptional customer service while addressing patient inquiries and concerns.

Qualifications

Required

• At least a high school graduate or senior high school graduate

• At least 1 year of experience in any of the following:

  • Healthcare Revenue Cycle Management (RCM)

  • Customer service in healthcare BPO operations

  • Insurance verification or authorization

  • Patient registration or patient access

  • Medical billing or collections

  • Health insurance services

  • Healthcare payment collections in a voice-based environment

Preferred

• Experience using electronic medical record (EMR) systems such as Epic or Cerner.

• Knowledge of U.S. healthcare insurance plans, benefits, eligibility, and coverage verification.

• Understanding of medical terminology, ICD-10, and CPT codes.

• Experience with payment processing and financial counseling.

• Familiarity with charity care and patient financial assistance programs.

• Proficiency in Microsoft Office applications, including Excel, Word, and Outlook.

Work Arrangement

• Must be willing to work onsite in Alabang.

WHAT WE OFFER:

Market Competitive Pay Levels

Retirement Plan

Medical Plan (HMO) from Day 1 of employment

Dental, Medical, and Optical Reimbursements

Life and Disability Insurance

Paid Time-Off Benefits

Sick Leave Conversion

Tuition Reimbursement

Employee Assistance Program (EAP)

Annual Performance Based Merit Increases

Employee Recognition

Training and Staff Development

Employee Referral Program

Employee Volunteerism Opportunity

All Mandatory Statutory Benefits

WHO WE ARE:

Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.

UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.

We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.

As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.

Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together.