URGENT Medical Claims Analyst

22 hours ago

Manila, National Capital Region, Philippines Optum Full time ₱900,000 - ₱1,200,000 per year

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 Quezon 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

  • 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.

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 Claims Analyst

    2 weeks ago

    Manila, National Capital Region, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

    We are seeking a Utilization Review professional to fulfill a key role within our organization.Job OverviewThe ideal candidate will possess an active PHRN and USRN Mainland License, with at least one year of bedside experience preferably in UR/UM. The selected individual will assess and interpret customer needs, requirements and medical records, reviewing...

  • Detailed Medical Claims Analyst

    2 weeks ago

    Manila, National Capital Region, Philippines beBeeClaims Full time $60,000 - $72,000

    We are seeking a detail-oriented and analytical Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for maximizing insurance reimbursement for healthcare practice owners by identifying root causes of claim denials, underpayments, or delays and proposing effective resolutions.ResponsibilitiesBetter manage...

  • Medical Claims Specialist

    2 weeks ago

    Manila, National Capital Region, Philippines beBeeClaims Full time $40,000 - $60,000

    Medical Claims SpecialistWe are seeking a detail-oriented medical claims specialist to join our team. The ideal candidate will have strong organizational skills and experience in managing medical claims and insurance processes.The key responsibilities of this role include accurately inputting claim information into the system, maintaining organized...

  • Medical Claims Specialist

    2 weeks ago

    Manila, National Capital Region, Philippines beBeeMedical Full time $50,000 - $75,000

    Our organization is seeking a skilled Medical Claims Specialist to join our team. This critical role involves monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities.Key Responsibilities:Perform eligibility verification and benefits checks to ensure accurate patient...

  • Medical Claim Processor

    2 weeks ago

    Manila, National Capital Region, Philippines beBeeBiller Full time ₱25,000 - ₱40,000

    Job SummaryA medical biller is responsible for accurately posting medical charges, payments, and journal entries to patient accounts in a timely manner.This individual will verify correct insurance filing information on behalf of the client and patient, prepare, review, and transmit claims using billing software, including electronic and paper claim...

  • Medical Claims Professional

    2 weeks ago

    Manila, National Capital Region, Philippines beBeeMedicalClaims Full time $55,000 - $65,000

    Job Title: Medical Claims ProfessionalJob OverviewWe are seeking a skilled Medical Claims Professional to manage accounts receivables, maintain accurate records, and coordinate with healthcare providers and insurance companies.Key Responsibilities:Process and submit medical claims in a timely manner.Manage delinquent accounts and pursue payment...

  • Medical Content Analyst

    3 weeks ago

    Manila, National Capital Region, Philippines Lyric - Clarity in motion. Full time

    OverviewJoin to apply for the Medical Content Analyst role at Lyric - Clarity in motion.Lyric, formerly ClaimsXten, is a leading healthcare technology company, committed to simplifying the business of care. Over 30 years of experience, dedicated teams, and top technology help deliver more than $14 billion of annual savings to our many loyal and valued...

  • Medical Claims Specialist

    2 weeks ago

    Manila, National Capital Region, Philippines beBeeClaims Full time $45,000 - $62,000

    Job Overview">ClinicMind is seeking a Medical Claims Specialist to maximize insurance reimbursement for healthcare practice owners. This role involves analyzing claim denials, underpayments, and delays to propose resolutions.">Responsibilities"> Maximize insurance reimbursement by analyzing claims and proposing resolutions Identify root causes of claim...

  • Medical Claims Coordinator

    1 week ago

    Manila, National Capital Region, Philippines beBeeHealthcare Full time $45,000 - $65,000

    Medical Billing ProfessionalThis role is responsible for facilitating the flow of medical claims through various healthcare facilities and insurance companies.Key Responsibilities:Communicating effectively with patients, providers, and insurance companies regarding inquiries, appointments, and data verificationManaging the processing of claims, including...

  • Chief Medical Claims Specialist

    2 weeks ago

    Manila, National Capital Region, Philippines beBeeMedicalBiller Full time ₱50,000 - ₱70,000

    Job SummaryWe are seeking a highly skilled Medical Biller to manage the timely and accurate submission and tracking of medical claims. This role requires strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.ResponsibilitiesAudit claim information for accuracy and maintain...