Onsite Patient Care & Financial Clearance Coordinator

Optum, a UnitedHealth Group Company; Muntinlupa; On-site; PHP 502,000 - 759,000; Full time

Benefits offered by this job

Market Competitive Pay Levels

Medical Plan (HMO) from Day 1

Dental, Medical, and Optical Reimburse

Job summary

Optum, a UnitedHealth Group Company, is seeking a detail-oriented Patient Care Coordinator to support patients through the financial clearance process for healthcare services in Alabang. You will verify insurance, obtain authorizations, explain financial responsibilities, and document information across care teams.

The role involves patient communication, billing support, and ensuring compliance with privacy and security standards while delivering excellent customer service during night US-hour

Qualifications

• At least a high school graduate or senior high school graduate.
• At least 1 year of experience in Healthcare RCM, healthcare BPO customer service, insurance verification, patient registration, medical billing, or related healthcare support.
• Willing to work onsite in Alabang.

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 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 support

Revenue Cycle

Insurance verification

Patient registration

Medical billing

Collections

Communication skills

Education

High school diploma

Tools

Epic

Cerner

Job description

Optum, a UnitedHealth Group Company, is seeking a detail-oriented Patient Care Coordinator to support patients through the financial clearance process for healthcare services in Alabang. You will verify insurance, obtain authorizations, explain financial responsibilities, and document information across care teams.

The role involves patient communication, billing support, and ensuring compliance with privacy and security standards while delivering excellent customer service during night US-hour