On-site Cebu Medical AR Claims Specialist

Optum, a UnitedHealth Group Company; Cebu City; On-site; PHP 279,000 - 469,000; Full time

Benefits offered by this job

Market Pay

Retirement Plan

HMO Day 1

Dental & Medical

Life Insurance

Paid Time Off

Sick Leave

Tuition Reimbursement

EAP

Merit Increases

Employee Recognition

Training & Development

Referral Program

Volunteerism

Job summary

Optum in Cebu City is seeking a healthcare AR/collections specialist to verify claims, pursue unpaid balances, and resolve payer disputes in a US healthcare BPO environment. You will work with UB claims, UB04 forms, and Epic Systems to ensure timely, accurate billing.

This on-site role requires collaboration with providers and customers to monitor claim status, manage denials, and drive cash collections while upholding quality and compliance.

Qualifications

• College graduate from any course.
• Minimum 12 months experience in Healthcare AR/Collections in a BPO.
• Familiarity with UB Claims and UB04 forms.
• Experience in medical billing/AR collections.
• Background in calling insurance (Payer) for claim status and payment disputes.
• Familiar with Epic Systems.
• Willing to work on-site in Cebu City.
• Experience in a US BPO Healthcare Account is required.

Responsibilities

• Read contracts for payment disputes.
• Work on the provider side.
• Verify claim status and collect unpaid claims from insurance.
• Process claims payments, manage denials, and track claim statuses.
• Manage collections for healthcare unpaid claims.
• Interact with customers to ensure invoice accuracy and resolve claims discrepancies.
• Provide input on policies, systems, methods, and procedures for premium collection management.
• Educate customers on online applications for claims and payments.
• Monitor outstanding balances and ensure clients pay as billed.
• Prepare invoices and reconcile billing with accounts receivables.
• Conduct quality assurance and audits of collection activities.
• Handle documents, emails, and calls related to account processes.
• Perform accounts receivable collections, follow-up, denial management, claims payment processing, tracking, and appeals for hospital processes.

Skills

Healthcare AR/Collections

BPO experience

UB Claims

UB04 forms

Medical billing

Payer calls

Education

College Graduate

Tools

Epic Systems

Job description

Optum in Cebu City is seeking a healthcare AR/collections specialist to verify claims, pursue unpaid balances, and resolve payer disputes in a US healthcare BPO environment. You will work with UB claims, UB04 forms, and Epic Systems to ensure timely, accurate billing.

This on-site role requires collaboration with providers and customers to monitor claim status, manage denials, and drive cash collections while upholding quality and compliance.