Healthcare Claims Specialist

3 days ago


Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time
Job Overview
As a skilled Healthcare Claims Specialist, you will play a vital role in the healthcare industry by collecting unpaid claims and providing exceptional customer service. Your primary responsibility will be to interact with customers, gather support data to ensure invoice accuracy, and work through specific claims discrepancies.

Key Responsibilities
  • Collect unpaid claims and resolve any issues related to billing and payment.
  • Provide input to policies, systems, methods, and procedures for 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.

Requirements
  • Bachelor's degree from an accredited institution.
  • At least 1 year of experience in claims, payment, and collection under healthcare accounts in a BPO setting or environment.
  • Experience in conducting calls, preferably outbound.
  • Background in healthcare collection or Revenue Cycle Management (RCM) is highly desirable.
  • Strong customer service, communication, and computer skills are essential.

What We Offer
  • Competitive salary and benefits package.
  • Opportunities for career growth and professional development.
  • A dynamic and supportive work environment.
  • Recognition and rewards for outstanding performance.


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