Healthcare AR Collections Specialist - On-site Makati

Optum, a UnitedHealth Group Company; Makati; Sur place; PHP 335 000 - 502 000; Plein temps

Avantages offerts par ce poste

Market Competitive Pay Levels

Retirement Plan

Medical Plan (HMO)

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Paid Time-Off Benefits

Sick Leave Conversion

Tuition Fee Reimbursement

Employee Assistance Program (EAP)

Annual Merit Increases

Employee Recognition

Training and Staff Development

Employee Referral Program

Employee Volunteerism Opportunity

All Mandatory Statutory Benefits

Résumé du poste

Optum is seeking an experienced Healthcare AR/Collections specialist for on-site work in Makati. You will read contracts for payment disputes, verify claim status, and pursue unpaid claims from insurance providers.

Responsibilities include processing claims payments, managing denials, auditing collection activities, and ensuring invoice accuracy across healthcare accounts. A US BPO healthcare background is preferred.

Qualifications

• SHS Graduate or completed at least 2 years of college.
• Minimum 12 months experience in Healthcare AR/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.

Responsabilités

• 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.

Connaissances

Healthcare AR/Collections

Payer communications

UB claims familiarity

EPIC system knowledge

Formation

SHS graduate / some college

Outils

UB Claims

UB04 forms

EPIC SYSTEM

Description du poste

Optum is seeking an experienced Healthcare AR/Collections specialist for on-site work in Makati. You will read contracts for payment disputes, verify claim status, and pursue unpaid claims from insurance providers.

Responsibilities include processing claims payments, managing denials, auditing collection activities, and ensuring invoice accuracy across healthcare accounts. A US BPO healthcare background is preferred.