Night-Shift Patient Care Navigator — Insurance & Billing

Optum, a UnitedHealth Group Company; Davao City; On-site; PHP 360,000 - 540,000; Full time

Benefits offered by this job

Market Competitive Pay Levels

Medical Plan (HMO) from Day 1

Dental, Medical, Optical Reimburse"s

Life and Disability Insurance

Paid Time-Off Benefits

Tuition Reimbursement

EAP

Merit Increases

Training and Staff Development

Employee Referral Program

Job summary

Optum is hiring a Patient Care Coordinator in Davao City to support patients through the financial clearance process. You will verify insurance, obtain authorizations, explain financial responsibilities, and document information accurately, working closely with patients and healthcare teams.

The role targets candidates with 1+ year in healthcare RCM or customer service, with preferred experience in EMR systems like Epic or Cerner. Onsite expected in Davao with US night-shift hours.

Qualifications

• Must have at least 1 year of healthcare RCM or customer service experience.
• Experience in insurance verification, authorizations, or patient access is preferred.
• Knowledge of medical billing, collections, and payment processing is a plus.

Responsibilities

• Verify patient insurance eligibility, benefits, and coverage information.
• Obtain and validate required authorizations, referrals, and pre-certifications.
• Review medical necessity requirements and process applicable documentation when needed.
• Calculate and communicate estimated patient financial responsibility, including out-of-pocket costs.
• Contact patients to verify demographic, insurance, and financial information.
• Educate patients regarding insurance benefits, billing processes, payment options, and financial assistance programs.
• Collect payments and assist patients with payment arrangements when appropriate.
• Complete Medicare Secondary Payer (MSP) requirements and related documentation.
• Maintain accurate and complete patient records in accordance with organizational standards.
• Follow healthcare compliance requirements, privacy regulations, and data security protocols.
• Escalate accounts that do not meet financial clearance requirements.
• Deliver exceptional customer service while addressing patient inquiries and concerns.

Skills

Healthcare customer service

Insurance verification

Revenue cycle management

Patient registration

Medical billing

Payment collections

Customer inquiries handling

Financial counseling

Education

High school diploma

Tools

Epic

Cerner

Job description

Optum is hiring a Patient Care Coordinator in Davao City to support patients through the financial clearance process. You will verify insurance, obtain authorizations, explain financial responsibilities, and document information accurately, working closely with patients and healthcare teams.

The role targets candidates with 1+ year in healthcare RCM or customer service, with preferred experience in EMR systems like Epic or Cerner. Onsite expected in Davao with US night-shift hours.