Healthcare Collections Professional

2 days ago


Pasig, National Capital Region, Philippines Optum Full time
Job Description:

This role is responsible for collecting unpaid healthcare claims, interacting with customers to gather support data for invoice accuracy, and working through specific claims discrepancies.

The primary responsibilities of this position include contract reading of payment disputes, checking claim status and collecting unpaid claims, processing claims payments, denial management, and claim status tracking.

This function involves educating customers about receiving claims and remitting payments through online applications, monitoring outstanding balances, and taking appropriate actions to ensure clients pay as billed.

The Account Receivable Specialist will manage the preparation of invoices and complete reconciliation of billing with accounts receivables, including quality assurance and audit of collection activities.

This blended account process involves documents, emails, and calls. The role requires moderate work experience within its own function and may involve completing tasks without established procedures.

Key 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.


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