Revenue Cycle Management

Optum; Quezon City; On-site; PHP 357,000 - 580,000; Full time

Job summary

Optum in Quezon City seeks a dedicated Revenue Cycle Management professional to oversee end-to-end billing, claims, and collections. You will reconcile accounts, analyze financial data, and collaborate with internal teams and payers to resolve issues while ensuring compliance and process improvement.

The role emphasizes accuracy, communication, and adherence to quality and productivity standards in a fast-paced healthcare environment.

Qualifications

• Strong knowledge and practical experience in Revenue Cycle Management, including billing, claims, and collections processes.
• Solid Analytical Skills with the ability to interpret data, identify trends, and support data-driven decisions.
• Background in Finance to understand reimbursement models, financial reporting, and cost optimization.
• Competence in Accounting principles related to healthcare revenue, account reconciliation, and documentation accuracy.
• Effective Communication skills for collaborating with internal teams, payers, and other stakeholders, both verbally and in writing.
• Detail-oriented, organized, and able to manage multiple tasks in a fast-paced environment.
• Proficiency with relevant healthcare, billing, and office software systems.
• Experience in healthcare, insurance, or shared services environments is preferred.
• Post-secondary education in Business, Finance, Accounting, Healthcare Administration, or a related field is an advantage.

Responsibilities

• Manage end-to-end revenue cycle processes, including patient billing, claims submission, payment posting, and collections.
• Review accounts for discrepancies and perform account reconciliation.
• Analyze financial data and trends to support data-driven decisions.
• Coordinate with internal teams and external partners to resolve billing or claims issues.
• Handle documentation and ensure compliance with regulations and company policies.
• Use systems and tools to track performance and improve process efficiency.
• Communicate clearly with stakeholders and contribute to process improvement initiatives.

Skills

RCM knowledge

Billing

Claims processing

Collections

Analytical skills

Finance background

Accounting principles

Communication skills

Detail-oriented

Healthcare software

Experience in healthcare/insurance

Education

Post-secondary education in Business/Finance/Accounting/Healthcare Administration

Tools

Healthcare software systems

Job description

Company Description Optum, part of UnitedHealth Group (NYSE: UNH), is dedicated to evolving health care so individuals can live their healthiest lives. The organization focuses on making health and well-being easier and more affordable by putting people’s unique needs at the center of its services. Optum delivers care when and how it is needed, supports smarter health decisions, and simplifies prescription services while helping reduce costs. Team members contribute to building a health care system that is more coordinated, accessible, and patient-focused. Together, Optum works toward better health for communities worldwide.

Role Description This is a full-time, on-site Revenue Cycle Management role based in Quezon City. The role involves managing end-to-end revenue cycle processes, including patient billing, claims submission, payment posting, and collections to ensure accurate and timely reimbursement. Responsibilities include reviewing accounts for discrepancies, performing account reconciliation, analyzing financial data and trends, and coordinating with internal teams and external partners to resolve billing or claims issues. The individual will handle documentation, maintain compliance with relevant regulations and company policies, and use systems and tools to track performance and improve process efficiency. The role requires clear communication with stakeholders, contribution to continuous process improvement initiatives, and adherence to quality and productivity standards.

Qualifications

• Strong knowledge and practical experience in Revenue Cycle Management, including billing, claims, and collections processes.
• Solid Analytical Skills with the ability to interpret data, identify trends, and support data-driven decisions.
• Background in Finance to understand reimbursement models, financial reporting, and cost optimization.
• Competence in Accounting principles related to healthcare revenue, account reconciliation, and documentation accuracy.
• Effective Communication skills for collaborating with internal teams, payers, and other stakeholders, both verbally and in writing.
• Detail-oriented, organized, and able to manage multiple tasks in a fast-paced environment.
• Proficiency with relevant healthcare, billing, and office software systems.
• Experience in healthcare, insurance, or shared services environments is preferred.
• Post-secondary education in Business, Finance, Accounting, Healthcare Administration, or a related field is an advantage.