Healthcare AR Specialist: Provider Claims & Billing

Optum, a UnitedHealth Group Company; Muntinlupa; On-site; PHP 240,000 - 360,000; Full time

Job summary

Optum, a UnitedHealth Group Company, in Metro Manila, is seeking a Collections professional to handle healthcare unpaid claims. You will interact with providers and insurers to verify claims, gather data, and drive invoice accuracy while following policies and procedures.

The role focuses on checking claim status, reconciling billing with accounts receivable, and processing payments. On-site at the Alabang office, you should have a Senior High School or 2-year college background with EPIC SYSTEM

Qualifications

• Education level of at least Senior High School Graduate or any 2 year course in college.
• Used and familiar with EPIC SYSTEM is an advantage.
• Familiar with UB Claims and has knowledge in UB04 forms.
• Have a solid background on medical billing/ AR Collections at least a minimum of 6mons.
• Should have experience working on Provider side (hospital side).
• Background in calling insurance (Payer) to verify claim status and payment dispute.
• Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications.
• Ability to multi-task and to understand multiple products and multiple levels of benefits within each product.

Responsibilities

• Contract reading of payment dispute.
• Working on the Provider side.
• Checking with the insurance to verify claim status and collect unpaid claims.
• Process claims payment.

Skills

Medical billing

AR collections

Payer communications

Windows proficiency

Education

Senior High School or 2-year college

Tools

EPIC SYSTEM

UB04 forms

Job description

Optum, a UnitedHealth Group Company, in Metro Manila, is seeking a Collections professional to handle healthcare unpaid claims. You will interact with providers and insurers to verify claims, gather data, and drive invoice accuracy while following policies and procedures.

The role focuses on checking claim status, reconciling billing with accounts receivable, and processing payments. On-site at the Alabang office, you should have a Senior High School or 2-year college background with EPIC SYSTEM