URGENT | AR Collections Rep for US Healthcare | Get Retirement Plan | Taguig

Optum - URGENT | AR Collections Rep for US Healthcare | Get Retirement Plan | Taguig

Location McKinley Hill Drive, Taguig, Metro Manila, Philippines

Job Pitch

WHAT WE OFFER

  • Market Competitive Pay Levels
  • Fast Processing! No Exam Hiring
  • Retirement Plan
  • Medical Plan (HMO) from Day 1 of employment
  • Dental, Medical, and Optical Reimbursements
  • Life and Disability Insurance
  • Paid Time-Off Benefits
  • Sick Leave Conversion
  • Tuition Fee Reimbursement
  • Employee 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.
  • We’re a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
  • 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

Job Description

Primary Responsibilities:

  • Contract reading of payment dispute.
  • Working on the Provider side.
  • Checking with the insurance to verify claim status and collect unpaid claims.
  • Process claims payment, Denial Management, Claim statusing

JOB QUALIFICATIONS

  • Completed at least 2 years in college
  • With minimum 12 months experience of Healthcare Account Receivable/Collections in a BPO setting or environment (claims payments processing, claims status and tracking, Medical Billing, AR Follow ups, Denials and Appeals-outbound healthcare providers)
  • Familiarity with UB Claims and knowledge in UB04 forms.
  • Experienced on medical billing/AR Collections.
  • Background in calling insurance (Payer) to verify claim status and payment dispute.
  • Used and familiar with EPIC SYSTEM as an activity tool.
  • Willing to work on-site in Taguig - G/F Science Hub Tower 3, McKinley Hill, Taguig

 

Note: Experience in a BPO Healthcare Account is Required

 

ROLE AND RESPONSIBILITIES

This function is responsible for Collections for Healthcare unpaid claims. This positions in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection function. Educate customers regarding the availability of receiving claims and remitting payments through online applications. Monitor outstanding balances and take appropriate actions to ensure clients pay as billed. Manage the preparation of invoices and complete reconciliation of billing with accounts receivables. May also include quality assurance and audit of collection activities.

Blended Account process documents, emails and calls.
Moderate work experience within own function.
Some work is completed without established procedures.
Basic tasks are completed without review by others.
Supervision/guidance is required for higher level tasks.

Skills Required

  • Creative Thinker
  • Problem Solving Skills
  • Analytical Skills
  • Calm Under Pressure
  • Open to Flexible Schedules
  • Attention to Detail
  • Empathetic to Customers
  • Positive Attitude
  • Strong Communication Skills

Qualification Required

  • Undergraduate

What this jobs offers

Optum About Optum Read more about Us

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

Being a part of Optum means working to improve health outcomes for everyone, including yourself. Here is how:

·        Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer. 

·        Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture. 

·        Growing together. Optum is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop. 

 

 

UnitedHealthcare and Optum make up UnitedHealth Group as two distinct but complementary businesses, working to build a better health system for all.  

 

Read more about Us
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