Healthcare AR Claims Specialist – Makati On-site

Optum, a UnitedHealth Group Company; Makati; On-site; PHP 400,000 - 600,000; Full time

Benefits offered by this job

Market Competitive Pay Levels

Retirement Plan

Medical Plan (HMO) from Day 1 of emplo

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Paid Time-Off Benefits

Sick Leave Conversion

Tuition Fee Reimbursement

Employee Assistance Program (EAP)

Annual Performance Based Merit Increa

Employee Recognition

Training and Staff Development

Employee Referral Program

Employee Volunteerism Opportunity

All Mandatory Statutory Benefits

Job summary

Optum in Makati is seeking an on-site Healthcare AR/Collections Associate with experience in US health care BPO environments. You will review contracts, verify claim status, and actively collect unpaid claims from insurers while addressing denials and payment disputes.

You will work with UB Claims, UB04 forms, and EPIC SYSTEM familiarity to ensure invoice accuracy. The role offers career growth within Optum and a comprehensive benefits package.

Qualifications

• SHS Graduate or completed at least 2 years of college.
• Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.
• Familiarity with UB Claims and UB04 forms.
• Experience in medical billing/AR collections.
• Background in calling insurance (Payer) for claim status and payment 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.

Job description

Optum in Makati is seeking an on-site Healthcare AR/Collections Associate with experience in US health care BPO environments. You will review contracts, verify claim status, and actively collect unpaid claims from insurers while addressing denials and payment disputes.

You will work with UB Claims, UB04 forms, and EPIC SYSTEM familiarity to ensure invoice accuracy. The role offers career growth within Optum and a comprehensive benefits package.