Healthcare Claims & AR Specialist (RCM) – On‑Site Makati

Optum, a UnitedHealth Group Company; Philippines; On-site; PHP 240,000 - 420,000; Full time

Job summary

Optum, a UnitedHealth Group Company, seeks a candidate to manage healthcare unpaid claims and support premium collection activities. The role involves gathering documentation, resolving discrepancies, and ensuring invoice accuracy in a high-volume environment.

You will monitor balances, collaborate with payers to verify claim status, and educate customers on online tools for submissions and payments. It is a blended role with document processing, email handling, and outbound calls.

Qualifications

• Minimum 18 months of experience in Medical Billing/AR Collections.
• Two years of college completed or allied medical course.
• Experience with UB Claims and UB-04 forms.

Responsibilities

• Review contracts related to payment disputes.
• Work on the provider side (hospital/provider accounts).
• Contact insurance companies (payers) to verify claim status and follow up on unpaid claims.
• Investigate and resolve payment disputes and claim discrepancies.
• Process claim payments and maintain accurate records.
• Monitor outstanding balances and ensure timely collection of receivables.
• Prepare invoices and perform billing and accounts receivable reconciliations.
• Educate customers on online payment and claims-processing applications.
• Support quality assurance and audit activities related to collections.
• Complete routine tasks independently while escalating complex issues as needed.

Skills

Medical Billing

AR Collections

UB Claims

Provider-side experience

Payers communications

multitasking

Education

Two years of college

Allied medical course

Tools

Windows applications

Job description

Optum, a UnitedHealth Group Company, seeks a candidate to manage healthcare unpaid claims and support premium collection activities. The role involves gathering documentation, resolving discrepancies, and ensuring invoice accuracy in a high-volume environment.

You will monitor balances, collaborate with payers to verify claim status, and educate customers on online tools for submissions and payments. It is a blended role with document processing, email handling, and outbound calls.