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Patient Financial Services Representative

1 week ago


Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

Our Commitment to Excellence:

At Optum, we're dedicated to providing exceptional care and service to our members, families, facilities, and health professionals.

Job Summary:

This Clinical Revenue Cycle Specialist role is critical in helping us achieve this goal by managing patient accounts, collecting payments, and facilitating smooth financial transactions.

Main Responsibilities:

  • Collections, follow-up, denial management, claims payment processing tracking and status, and appeals for hospital processes.
  • Gathering support data to ensure invoice accuracy.
  • Interacting with customers to monitor outstanding balances and take appropriate actions to ensure clients pay as billed.

Key Qualifications:

  • Minimum 12 months experience of Healthcare Account Receivable/Collections in a BPO setting or environment.
  • Familiarity with UB Claims and knowledge in UB04 forms.
  • Experience in medical billing/AR Collections.
  • Background in calling insurance (Payer) to verify claim status and payment dispute.

Benefits Package:

  • 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.