On-site US Medical AR Claims Specialist (Alabang)

Optum, a UnitedHealth Group Company; Muntinlupa; In loco; PHP 223.000 - 391.000; Tempo pieno

Vantaggi offerti da questo lavoro

Market Competitive Pay Levels

Retirement Plan

Medical Plan (HMO) from Day 1

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Paid Time-Off Benefits

Sick Leave Conversion

Tuition Fee Reimbursement

Employee Assistance Program (EAP)

Annual Merit Increases

Employee Recognition

Training and Staff Development

Employee Referral Program

Employee Volunteerism Opportunity

All Mandatory Statutory Benefits

Descrizione del lavoro

Optum Philippines is hiring a Healthcare AR/Accounts Receivable specialist to support US healthcare clients from Northgate Alabang. This on-site role handles claim status, denials, and collections within a fast-paced BPO environment.

You will read contracts, verify payments, and coordinate with insurance providers to resolve disputes while ensuring accurate invoicing and timely cash collection. Prior US healthcare BPO experience is preferred.

Competenze

• SHS graduate or completed at least 2 years of college.
• Minimum 12 months experience in Healthcare AR/Collections in a BPO setting.
• 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 SYSTEM.
• Willing to work on-site in Northgate Alabang.
• Experience in a US BPO Healthcare Account is required.

Mansioni

• 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.

Conoscenze

Healthcare AR collections

UB Claims familiarity

UB04 forms familiarity

Medical billing/AR collections

US BPO healthcare accounts

Payer call handling

Formazione

SHS graduate / 2 years college

Strumenti

EPIC SYSTEM

Descrizione del lavoro

Optum Philippines is hiring a Healthcare AR/Accounts Receivable specialist to support US healthcare clients from Northgate Alabang. This on-site role handles claim status, denials, and collections within a fast-paced BPO environment.

You will read contracts, verify payments, and coordinate with insurance providers to resolve disputes while ensuring accurate invoicing and timely cash collection. Prior US healthcare BPO experience is preferred.