US Medical AR Claims Collector — On-Site Makati

Optum, a UnitedHealth Group Company; Makati; On-site; PHP 335,000 - 670,000; Full time

Benefits offered by this job

Market Competitive Pay Levels

Medical Plan (HMO) from Day 1

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Paid Time-Off Benefits

Tuition Fee Reimbursement

Employee Assistance Program (EAP)

Annual Merit Increases

Training and Staff Development

Employee Referral Program

Job summary

Optum, a UnitedHealth Group company, is seeking an AR Collections Specialist to join our on-site team in Makati. You will read contracts, verify claim status, and collect unpaid claims from insurance, while handling denials and payments for US healthcare accounts.

You will interact with payers and providers, help educate clients on claims portals, and contribute to process improvements in premium collections. This role offers growth within a Fortune 5 healthcare leader.

Qualifications

• SHS graduate or completed at least 2 years of college.
• Minimum 24 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 for claim status and payment disputes.
• Familiar with EPIC SYSTEM.
• Willing to work on-site in Makati.
• Experience in a US BPO Healthcare Account is required.

Responsibilities

• 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.

Skills

AR Collections

UB Claims

Epic Systems

US Healthcare BPO

Payer calls

Education

High School graduate

Some college (2 years)

Job description

Optum, a UnitedHealth Group company, is seeking an AR Collections Specialist to join our on-site team in Makati. You will read contracts, verify claim status, and collect unpaid claims from insurance, while handling denials and payments for US healthcare accounts.

You will interact with payers and providers, help educate clients on claims portals, and contribute to process improvements in premium collections. This role offers growth within a Fortune 5 healthcare leader.