Medical Claims/AR Collections Analyst
1 day ago
Job Qualifications:
- 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 Taguig City.
- Experience in a BPO Healthcare Account is required.
Primary 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.
Your role is critical in providing confidence in the exceptional care we offer to our members, families, facilities, and health professionals. This is an everyday opportunity to do your life's best work.
WHAT WE OFFER
- Market Competitive Pay Levels
- 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
WHO WE ARE
- Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
- UnitedHealth Groupis 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.
Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to Caring. Connecting. Growing together
-
Medical AR Claims Specialist
1 day ago
Taguig, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time $40,000 - $80,000 per yearJob Qualifications: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...
-
Medical Claims Specialist
2 days ago
Taguig, National Capital Region, Philippines beBeeClaims Full time ₱250,000 - ₱450,000Medicare Biller Role OverviewWe are seeking a highly skilled Medical Claims Specialist (Biller) to join our team. This role involves managing the billing cycle, including charge entry, claims creation, and electronic submission to insurance payers.Responsibilities:Perform billing functions, including charge entry, claims creation, and electronic submission...
-
US Medical Claims
1 day ago
Taguig, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time $40,000 - $80,000 per yearJob Qualifications: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...
-
US Healthcare AR Collections Specialist
1 day ago
Taguig, National Capital Region, Philippines Optum Full time $60,000 - $80,000 per yearJob Qualifications: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 ...
-
Taguig, National Capital Region, Philippines Optum Full time $40,000 - $60,000 per yearJob Qualifications: 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...
-
Taguig, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time $40,000 - $80,000 per yearJob Qualifications: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...
-
Medical Billing
4 days ago
Taguig, National Capital Region, Philippines HR TechX Corp. Full timeMedical Billing & Claims CSR I Revenue Cycle Management SpecialistJoin to apply for the Medical Billing & Claims CSR I Revenue Cycle Management Specialist role at HR TechX Corp.OverviewThe RCM Senior Associate is responsible for overseeing a broad range of duties within the revenue cycle management process, ensuring accurate and timely claims and billing...
-
Medical Accounts Manager
4 days ago
Taguig, National Capital Region, Philippines beBeeRevenue Full time ₱300,000 - ₱450,000Medical Billing & Claims SpecialistThe primary responsibility of this role is to oversee various tasks within the revenue cycle management process, ensuring timely and accurate claims submission, denial and appeals processing, reconciliation, and KPI monitoring.This position focuses on optimizing revenue collection through clean claim submission, A/R...
-
Associate - STD/Pregnancy Claims Analyst
1 day ago
Taguig, National Capital Region, Philippines Principal Global Services Full time $40,000 - $60,000 per yearResponsibilitiesAs aShort Term Disability Claims AnalystIn this fast-paced environment, every single day offers new challenges and the ability to use excellent analytical, multitasking, prioritization, and interpersonal skills to assist with clients' short-term disability claims - all during a time in which they may be facing major changes in life.Here are a...
-
AR Analyst
1 day ago
Taguig, National Capital Region, Philippines Eastvantage Business Solutions Inc. Full time ₱600,000 - ₱800,000 per yearJoin our team in BGC Taguig, as an AR Specialist/Analyst and play a key role in managing and optimizing our receivables process. We're looking for someone with strong analytical skills, attention to detail, and a solid background in credit management and collections to help maintain a healthy cash flow.Job responsibilities:Record customer payments via cash,...
