Night Shift: Patient Financial Concierge

Optum; Philippines; On-site; PHP 223,000 - 357,000; Full time

Benefits offered by this job

Medical plan from Day 1

Dental and vision reimbursements

Retirement plan

Annual merit increases

Training and staff development

Employee recognition

EAP

Job summary

Optum in the Philippines is seeking a detail-oriented Patient Care Coordinator to support patients through the financial clearance process before scheduled healthcare services. You will verify insurance coverage, obtain authorizations, and explain financial responsibilities while ensuring accurate documentation.

The role collaborates with patients, insurers, and care teams, requiring excellent customer service, knowledge of billing processes, and adherence to privacy and compliance standards.

Qualifications

• Minimum 1 year of experience in healthcare customer service.
• Experience with insurance verification or authorization.
• Familiarity with patient registration or access processes.
• Knowledge of healthcare billing and collections.
• Understanding of privacy and HIPAA compliance requirements.

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

Payment collections

Education

High school diploma or equivalent

1 year of related experience

Tools

Epic

Cerner

Job description

Optum in the Philippines is seeking a detail-oriented Patient Care Coordinator to support patients through the financial clearance process before scheduled healthcare services. You will verify insurance coverage, obtain authorizations, and explain financial responsibilities while ensuring accurate documentation.

The role collaborates with patients, insurers, and care teams, requiring excellent customer service, knowledge of billing processes, and adherence to privacy and compliance standards.