RCM - US Healthcare Medical Claims Specialist | Quezon City
3 weeks ago
Overview 40K Signing Bonus for RCM - US Healthcare Medical Claims Specialist | Quezon City Optum Quezon City, National Capital Region, Philippines 4 days ago Be among the first 25 applicants 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. Qualifications SHS Graduate or Completed at least 2 years of college. Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting. Familiarity with UB Claims and UB04 forms. Experience in medical billing/AR collections. Background in calling insurance (Payer) for claim status and payment disputes. Familiar with EPIC SYSTEM. Willing to work on-site in Quezon City . Experience in a BPO Healthcare Account is required. 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 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. #J-18808-Ljbffr
-
Quezon City, National Capital Region, Philippines Optum Full time ₱1,200,000 - ₱2,400,000 per yearJob Qualifications:SHS Graduate or Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC...
-
US Registered Nurse
1 week ago
Quezon City, Philippines R1 RCM Full timeR1 RCM Quezon City, National Capital Region, Philippines Join or sign in to find your next job Join to apply for the US Registered Nurse role at R1 RCM R1 RCM Quezon City, National Capital Region, Philippines Join to apply for the US Registered Nurse role at R1 RCM US Registered Nurse with active licenseWorking in an evolving healthcare setting, we use our...
-
Healthcare Customer Service Representative
2 weeks ago
Quezon City, Philippines R1 RCM Full timeWhat will you do in this role? You will be responsible for providing expertise and excellent customer service support that meet the needs of our patients by educating them on balance billing, payment processing, available payment arrangement, dispute resolution, collecting accurate insurance information, verifying benefits and eligibility, appointment...
-
Quezon City, Philippines Global Group Innovative Services, Inc. Full timeOverview 4 RCM/Accounts Receivable U.S. Healthcare | P28K to P37K | Muntinlupa Global Group Innovative Services, Inc. On-site - Quezon City | 1-3 Yrs Exp | Edu not required | Full-time Job Description RCM & AR Collections Salary package between P28K to P34K + P3600 Allowance + 10% night differential (depending on candidate’s exp) Minimum of 1-year BPO...
-
Medical Billing Specialist
4 weeks ago
Iloilo City, Philippines Hyremote Full timeMedical Billing Specialist - Accounts Receivable & Collections (Medicaid - US Healthcare) Join to apply for the Medical Billing Specialist - Accounts Receivable & Collections (Medicaid - US Healthcare) role at Hyremote Salary Range: $850 to $1,200 per month ($5–7/hr) 100% Permanent WFH - Full-Time - working U.S. EST hours Join a long-term care provider...
-
Healthcare Customer Service Representative
5 days ago
Quezon City, Philippines R1 RCM Full timeHealthcare Customer Service Representative R1 RCM Quezon City, National Capital Region, Philippines We are hiring for Healthcare Customer Service Representatives for QC! What will you do in this role? You will be responsible for providing expertise and excellent customer service support that meet the needs of our patients by educating them on balance...
-
Healthcare Customer Service Representative
6 days ago
Quezon City, Philippines R1 RCM Full timeOverview You will be responsible for providing expertise and excellent customer service support that meet the needs of our patients by educating them on balance billing, payment processing, available payment arrangement, dispute resolution, collecting accurate insurance information, verifying benefits and eligibility, appointment setting, treatments and...
-
Revenue Cycle Management
1 week ago
Cebu City, Philippines Staff4Me Full timeJob Summary We are seeking an experienced Revenue Cycle Management (RCM) Trainer based in the Philippines to develop and deliver training programs for accounting professionals transitioning into U.S. healthcare revenue cycle management. The ideal candidate will have a strong background in medical billing, coding, claims processing, and financial revenue...
-
URGENT US Healthcare Claims Rep
2 weeks ago
Quezon City, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time ₱1,200,000 - ₱2,400,000 per yearJob Qualifications:Completed at least 2 years of college or SHS Graduate.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC...
-
Emergency Medical Responder III
2 weeks ago
Quezon City, National Capital Region, Philippines Quezon City Local Government Full time ₱400,000 - ₱800,000 per yearRespond quickly to emergency calls involving accidents, medical incidents, and disasters.Assess the condition of patients and provide basic emergency medical care such as:CPR and defibrillationBleeding controlSpinal and bone stabilizationOxygen administrationAssist paramedics, EMTs, firefighters, and law enforcement at the scene.Monitor and report patient...
