Healthcare AR & Claims Collections Specialist

Optum, a UnitedHealth Group Company; Philippines; On-site; PHP 260,000 - 380,000; Full time

Benefits offered by this job

Market Pay Levels

Retirement Plan

Medical Plan (HMO)

Job summary

Optum is seeking a Healthcare Accounts Receivable/Collections specialist to join our Makati team, verifying claim statuses and pursuing unpaid claims within a US healthcare BPO setting.

Requirements include 12 months AR/collections experience, UB Claims/UB04 familiarity, EPIC system knowledge, and the ability to work on-site in Makati; the role offers competitive pay and benefits.

This is an opportunity to contribute to patient care while growing in a Fortune 5 health company.

Qualifications

• SHS graduate or completed at least 2 years of college required.
• Minimum 12 months experience in Healthcare AR/Collections in a BPO.
• Familiar with UB Claims and UB04 forms.
• Experience in medical billing/AR collections.
• Background in calling insurance (Payer) for claim status and disputes.
• Familiar with EPIC System.
• Willing to work on-site in Makati.
• Experience in a US BPO Healthcare Account is required.

Responsibilities

• Read contracts for payment disputes.
• Work on the provider side.
• Verify claim status and collect unpaid claims from insurance.
• Process claims payments, manage denials, and track claim statuses.
• Manage collections for healthcare unpaid claims.
• Interact with customers to ensure invoice accuracy and resolve claims discrepancies.
• Provide input on policies, systems, methods, and procedures for premium collection management.
• Educate customers on online applications for claims and payments.
• Monitor outstanding balances and ensure clients pay as billed.
• Prepare invoices and reconcile billing with accounts receivables.
• Conduct quality assurance and audits of collection activities.
• Handle documents, emails, and calls related to account processes.
• Perform accounts receivable collections, follow-up, denial management, claims payment processing, tracking, and appeals for hospital processes.

Skills

Healthcare AR experience

BPO experience

UB Claims knowledge

UB04 forms knowledge

Medical billing

Payer call handling

EPIC System familiarity

On-site Makati

US Healthcare BPO exposure

Education

SHS graduate / some college

Tools

EPIC System

Job description

Optum is seeking a Healthcare Accounts Receivable/Collections specialist to join our Makati team, verifying claim statuses and pursuing unpaid claims within a US healthcare BPO setting.

Requirements include 12 months AR/collections experience, UB Claims/UB04 familiarity, EPIC system knowledge, and the ability to work on-site in Makati; the role offers competitive pay and benefits.

This is an opportunity to contribute to patient care while growing in a Fortune 5 health company.