Patient Care Coordinator | Quezon City

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

Schedule: Night Shift (US Hours)

About the Role

We are looking for a detail-oriented and customer-focused Patient Care Coordinator to support patients throughout the financial clearance process before scheduled healthcare services. In this role, you will work closely with patients, insurance providers, and healthcare teams to verify insurance coverage, secure authorizations, explain financial responsibilities, and ensure all required information is accurately documented.

This position is ideal for professionals with experience in healthcare customer service, revenue cycle operations, insurance verification, patient registration, collections, or related healthcare support functions.

Job 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.

Job Qualifications

Required

• At least a high school graduate or senior high school graduate
• At least 1 year of experience in any of the following:
• Customer service in healthcare BPO operations
• Insurance verification or authorization
• Patient registration or patient access
• Medical billing or collections
• Health insurance services
• Healthcare payment collections in a voice-based environment

Preferred

• Experience using electronic medical record (EMR) systems such as Epic or Cerner.
• Knowledge of U.S. healthcare insurance plans, benefits, eligibility, and coverage verification.
• Understanding of medical terminology, ICD-10, and CPT codes.
• Experience with payment processing and financial counseling.
• Familiarity with charity care and patient financial assistance programs.
• Proficiency in Microsoft Office applications, including Excel, Word, and Outlook.

Work Arrangement

• Must be willing to work onsite in Quezon City.

WHAT WE OFFER:

• Market Competitive Pay Levels
• Retirement Plan
• Medical Plan (HMO) from Day 1 of employment
• Dental, Medical, and Optical Reimbursements
• Life and Disability Insurance
• Sick Leave Conversion
• Tuition ReimbursementEmployee Assistance Program (EAP)
• Annual Performance Based Merit Increases
• Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity
• All Mandatory Statutory Benefits

WHO WE ARE:

• Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
• UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
• We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together.