Healthcare Collection Representative, Cebu

UnitedHealth Group; Cebu City; On-site; PHP 502,000 - 670,000; Full time

Job summary

UnitedHealth Group's Optum unit in the Philippines is seeking a Collections specialist for healthcare unpaid claims. You will contact providers, verify claim status, and collect payments while ensuring invoice accuracy and reconciliation with accounts receivable.

Responsibilities include processing payments, supporting data gathering, and applying policy guidance to optimize cash flow. Collaboration with payer contacts and internal teams is essential to success in this role.

Qualifications

• College graduate with healthcare billing/AR experience.
• Experience on the provider (hospital) side is preferred.
• Familiar with UB Claims and UB04 forms.
• Proficient with Windows PC applications and multiple programs.
• Experience calling payers to verify claim status and resolve disputes.
• Strong multitasking and ability to learn new systems quickly.

Responsibilities

• Manage collections for healthcare unpaid claims and verify invoice accuracy.
• Interact with providers to gather data and reconcile with accounts receivable.
• Process claims payments and monitor outstanding balances.
• Educate customers about claim status and payment options.
• Ensure compliance with company policies and payment procedures.

Skills

Provider side experience

UB claims knowledge

UB04 forms knowledge

EPIC system familiarity

Windows PC proficiency

Medical billing/AR collections

Insurance payer calls

Multi-tasking

Education

College Graduate

Tools

EPIC System

UB Claims

UB04 forms

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This function is responsible for Collections for Healthcare unpaid claims. The position in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection function. Educate customers regarding the availability of receiving claims and remitting payments through online applications. Monitor outstanding balances and take appropriate actions to ensure clients pay as billed. Manage the preparation of invoices and complete reconciliation of billing with accounts receivables. May also include quality assurance and audit of collection activities.

Primary Responsibilities:

• Blended Account process documents, emails and calls
• Moderate work experience within own function
• Some work is completed without established procedures
• Basic tasks are completed without review by others
• Supervision/guidance is required for higher level tasks
• Return to office set-up (Makati Office)
• 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
• Comply with all applicable Company policies, procedures, and business directives, including any changes relating to work location, team assignments, work schedules, and flexible work arrangements

Required Qualifications:

• College Graduate
• Experience working on Provider side (hospital side)
• Used and familiar with EPIC SYSTEM is an advantage
• Familiar with UB Claims and has knowledge in UB04 forms
• Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
• Proven background on medical billing/ AR Collections at least a minimum of 12mons
• Proven background in calling insurance (Payer) to verify claim status and payment dispute
• Proven ability to multi-task and to understand multiple products and multiple levels of benefits within each product

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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