Patient Financial Clearance Specialist

Optum, a UnitedHealth Group Company; Muntinlupa; On-site; PHP 391,000 - 558,000; Full time

Benefits offered by this job

Competitive pay

Retirement Plan

HMO from Day 1

Job summary

Optum, a UnitedHealth Group company, is seeking a meticulous Patient Care Coordinator in Alabang to support patients through the financial clearance process. You will verify insurance, obtain authorizations, explain financial responsibilities, and document information accurately while collaborating with patients, insurers, and healthcare teams.

This role suits professionals with healthcare customer service or revenue cycle experience, including insurance verification, patient registration, or

Qualifications

• At least a high school graduate or senior high school graduate.
• At least 1 year of experience in healthcare revenue cycle management or healthcare customer service.
• Experience with insurance verification or authorization.
• Experience with patient registration or patient access.
• Experience with medical billing or collections or health insurance services.

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

Customer service

Communication

Detail oriented

Education

High school diploma

Tools

Epic

Cerner

MS Excel

Job description

Optum, a UnitedHealth Group company, is seeking a meticulous Patient Care Coordinator in Alabang to support patients through the financial clearance process. You will verify insurance, obtain authorizations, explain financial responsibilities, and document information accurately while collaborating with patients, insurers, and healthcare teams.

This role suits professionals with healthcare customer service or revenue cycle experience, including insurance verification, patient registration, or