Healthcare Claims Accounts Receivable Representative
3 days ago
This function is responsible for Collections for Healthcare unpaid claims. The position in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the 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. May also include quality assurance and audit of collection activities.
Blended Account process documents, emails and calls.
Moderate work experience within own function.
Some work is completed without established procedures.
Basic tasks are completed without review by others.
Supervision/guidance is required for higher level tasks.
Return to office set-up (UP Technohub, Quezon City)
Primary 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.
Required Qualifications:
• An education level of at least college undergrad for 2 years.
• Used and familiar with EPIC SYSTEM is an advantage.
• Familiar with UB Claims and has knowledge in UB04 forms.
• Have a solid background on medical billing/ AR Collections at least 12 mons.
• Should have experience working on Provider side (hospital side).
• Background in calling insurance (Payer) to verify claim status and payment dispute.
• Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications.
• Ability to multi-task and to understand multiple products and multiple levels of benefits within each product.
What makes this a special challenge? For one, we want to create a quality experience for every person we serve. So the bar is high for accuracy, communications style and effectiveness. Also, you'll need to be researching and resolving problems before, during and after calls within a high volume, demanding environment.
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.
-
Quezon City, National Capital Region, Philippines Optum Full time ₱1,200,000 - ₱2,400,000 per yearJob Qualifications:SHS Graduate or 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...
-
Claims and Returns Accounting Head
2 weeks ago
Quezon City, National Capital Region, Philippines BENBY ENTERPRISES, INC. Full time ₱2,000,000 - ₱2,500,000 per yearPosition Summary:We are seeking a detail-oriented and experienced Claims and Returns Accounting Head specializing in trade spends accounting to join our finance team. In this role, you will be responsible for overseeing all aspects of claims processing and accounts receivable management related to trade promotions and expenditures. Your primary objective...
-
mass hiring csr healthcare acc | 19k
2 weeks ago
Quezon City, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱19,000 - ₱23,000 per yearAs a Customer Service Representative (Healthcare Account), you will assist patients and members with inquiries regarding healthcare plans, benefits, claims, billing, and services. The role involves handling calls professionally, providing accurate information, resolving concerns efficiently, and ensuring excellent customer experience while maintaining...
-
Quezon City, National Capital Region, Philippines Neolytix Full time ₱1,200,000 - ₱2,000,000 per yearJob DescriptionAbout NeolytixNeolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices.Working at NeolytixAt Neolytix, you will learn...
-
Accounts Receivable Team Leader
2 weeks ago
Quezon City, National Capital Region, Philippines BENBY ENTERPRISES, INC Full time ₱70,000 - ₱120,000 per yearOverviewResponsible for managing the daily operations of the claims team to ensure accurate and timely processing of claims and reimbursements. This role requires strong leadership, attention to detail, and collaboration with departments such as Sales, Finance, and Operations.Key ResponsibilitiesSupervise and lead a team of claims associates to ensure timely...
-
Claims Operations Analyst
2 weeks ago
Quezon City, National Capital Region, Philippines ECLARO Full time ₱900,000 - ₱1,200,000 per yearClaims Operations AnalystNight ShiftOnsite in Commonwealth Ave., QCAbout the role:This position will be responsible for managing the Claims email box, meeting service level agreements, setting up the claim in ImageRight and the Claims system. Responsibilities include working directly with brokers and/or insureds for details required to complete the setup of...
-
Back office Medical Billing Associate
2 weeks ago
Quezon City, National Capital Region, Philippines MedHealth Connect Outsourcing Inc. Full time $104,000 - $130,878 per yearJob Title: Billing Coordinator – Accounts Receivable (Healthcare Account)Location: 8F Global One Building, Eastwood City, Libis, Quezon City (100% Onsite)Job Summary:We are seeking a detail-driven and highly organized Pharmacy Services Associate (Accounts Receivable) to support our Healthcare Account team. This role is responsible for overseeing the full...
-
Accounts Receivable Representative
2 weeks ago
Makati City, National Capital Region, Philippines Booth and Partners Full time $70,000 - $120,000 per yearWhy you'll love Softchoice:We are a technology company that equips organizations to be agile and innovative and for their people to be productive, creative, and happier at work. That means moving them to the cloud, helping them build the workplace of tomorrow, and enabling them to make smarter decisions about their technology portfolio. By doing these...
-
Quezon City, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱24,000 per yearSTART DATE: Oct 8, Oct 16, Oct 23URGENT HIRING MASS HIRING NEZDA is looking for HEALTHCARE CUSTOMER SERVICE REPRESENTATIVES- VOICE ACCOUNT Get hired via 1 Virtual Interview only and secure JOB OFFER immediatelyWORK SETUP: Full- time onsiteWORK SCHEDULE: Shifting schedule | Fixed weekends off LOCATION: Bridgetowne, E. Rodriguez Jr. Ave, Quezon City (Near IPI...
-
Healthcare Account CSR
2 weeks ago
Makati City, National Capital Region, Philippines Sapient Solution NCR Full time ₱432,000 - ₱3,000,000 per yearEasy and Fast One-day Hiring Process Earn up to 25k monthly plus more benefits We are looking for a Healthcare Specialist Representative in our Metro Manila Sites This is for urgent hiring, don't miss this opportunity and Apply NowResponsibilities:Answer inquiries regarding medical services, insurance coverage, and billingAssist patients with scheduling...
