Healthcare Claims Billing Representative

3 weeks ago

Metro Manila, Philippines Optum, a UnitedHealth Group Company Full time

This function is responsible for processing medical billing. 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.

100% Inbound Call.
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.
Return to office set-up (Alabang)

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.

     

    Required Qualifications:

    • An education level of at least college undergrad for 2 years.
    • Used and familiar with EPIC SYSTEM is an advantage.
    • Familiar with UB Claims and has knowledge in UB04 forms.
    • Have a solid background on medical billing/ AR Collections at least 12 mons.
    • Should have experience working on Provider side (hospital side).
    • Background in calling insurance (Payer) to verify claim status and payment dispute.
    • Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications.
    • Ability to multi-task and to understand multiple products and multiple levels of benefits within each product.

    What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.

    Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.

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