Senior AR Caller

4 days ago

Taguig, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time ₱1,200,000 - ₱2,400,000 per year

Job Qualifications:

  • SHS Graduate or Completed at least 2 years of college.
  • Minimum of 3 years of experience as an AR Caller or Senior AR Caller in Revenue Cycle Management (RCM), with a focus on Denial Management.
  • Hands-on experience in Physician Billing, Hospital Billing, or both, using forms such as UB-04 and/or CMS-1500.
  • Willing to work on-site in Taguig, Alabang or in Quezon City.
  • Experience in a BPO Healthcare Account is required.

Skills:

  • Strong problem-solving abilities, including root cause analysis for claim denials.
  • Familiarity with Capitation Agreements and their impact on billing and reimbursement.
  • Excellent communication and analytical skills to interact with insurance companies and resolve issues efficiently.
Key Responsibilities:
  • Review and analyze denied claims to determine root causes and take corrective actions.
  • Contact insurance companies to resolve outstanding claims and ensure timely reimbursement.
  • Interpret and apply payer-specific guidelines, including capitation agreements.
  • Document all actions taken on claims in the billing system accurately and promptly.
  • Collaborate with internal teams to escalate and resolve complex denial issues.
  • Maintain up-to-date knowledge of billing regulations, payer policies, and industry best practices.
  • Meet productivity and quality targets as defined by the operations team.

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

  • AR Billing Senior Associate

    6 days ago

    Taguig, National Capital Region, Philippines PRO INTEGRATE WORLD IT CONSULTING INC. Full time ₱520,000 - ₱620,000 per year

    Location: Pasay and BGCWork Setup: OnsiteWork Hours: Night Shift (AU)About the Role:We are looking for a highly skilled AR Billing Senior Associate with 2.5 to 5 years of experience in Accounts Receivable and Billing. This role will be responsible for managing end-to-end billing processes, ensuring accuracy, and supporting timely collections and...

  • Senior Accounting Analyst

    4 days ago

    Taguig, National Capital Region, Philippines Asurion Full time ₱1,200,000 - ₱2,400,000 per year

    Title: Sr Analyst - AR and RevenueLocation:Taguig (Hybrid + day/mid shift)The Senior Accounts Receivable and Revenue Analyst helps ensure the accuracy, integrity and timeliness of AR and Revenue Recognition process in compliance with company policies and procedures. Helps the AR Supervisor in managing the AR Team and helps oversee the daily task of the AR...

  • Senior Accountant

    4 days ago

    Taguig, National Capital Region, Philippines Aditya Consulting Full time $104,000 - $160,000 per year

    About the RoleWe're seeking a highly skilled and detail-oriented Senior Accountant to join our client's dynamic finance team supporting the Philippines and US-based operations. This role demands a seasoned professional who can lead end-to-end finance functions, ensure compliance, and deliver accurate financial insights in a fast-paced, global environment.Key...

  • RCM Senior Trainer

    4 days ago

    Taguig, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time $90,000 - $120,000 per year

    RCM Senior Trainer – Hospital BillingOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture...

  • Senior Accountant

    2 weeks ago

    Taguig, National Capital Region, Philippines Risewave Consulting, Inc. Full time ₱2,000,000 - ₱2,500,000 per year

    Job SummaryWe are seeking a highly competent and experiencedSenior General Accountantto lead ouraccounting operations. This position plays a key role in ensuring timely and accurate financial reporting in accordance with US GAAP and supports our company's growth across multiple renewable energy projects.Key Responsibilities:US GAAP and Financial...

  • Senior Accountant

    6 days ago

    Taguig, National Capital Region, Philippines AGSI Full time

    Job Title: Senior AccountantLocation: McKinley West, Taguig CitySchedule: Morning ShiftWho We AreAt AGSI, we believe people are at the heart of every successful business. Since 2012, we've been helping US-based companies build high-performing teams through top-notch and cost-effective business process outsourcing services. With over 50 years of combined...

  • Senior Instructional Designer

    8 hours ago

    Taguig, National Capital Region, Philippines Cognizant Full time ₱1,200,000 - ₱2,400,000 per year

    Job SummaryWe seek an experienced Senior Instructional Designer to lead the creation of impactful learning solutions and materials for global clients. Responsibilities include managing complex projects, mentoring junior IDs, establishing standards, developing deliverables, and collaborating with stakeholders to turn technical content into engaging learning...

  • Senior General Accountant/Accounting Team Leader

    2 weeks ago

    Taguig, National Capital Region, Philippines Risewave Consulting, Inc. Full time ₱2,000,000 - ₱2,500,000 per year

    Job SummaryWe are seeking ahighly competent and experienced Senior General Accountantto lead our accounting operations in the Philippines. This role is integral in ensuringtimely, accurate, and compliant financial reporting under US GAAP, while supporting the company's growth across multiplerenewable energy projects.The ideal candidate has aBig 4 background,...

  • Financial Controller

    6 days ago

    Taguig, National Capital Region, Philippines Satellite Office Full time ₱1,500,000 - ₱3,000,000 per year

    PRIMARY PURPOSE:We seek a Controller based in our Manila office, tasked with overseeing our financial function based in Manila, with a focus on transactional accounting along with broader support for financial operations. This role is critical for supporting our operations in Australia, particularly during month-end close and reporting cycles.This role is...

  • Sales Operations Specialist

    1 week ago

    Taguig, National Capital Region, Philippines Viventis Search Asia Full time ₱900,000 - ₱1,200,000 per year

    Location: McKinley, TaguigBenefits: HMOContract: 6 months (extension will depend on the performance or business needs)Work Schedule: Monday to Friday / Mid-shift or Night shiftPosition Overview: This position provides direct support to the Sales and Client Management organizations on order-related matters, business policy, and processes. The Sales Operations...