Deskripsi Pekerjaan
Are you a detail-oriented professional looking to advance your career in Healthcare BPO? Optum is seeking a highly skilled AR Claims Specialist to join our high-performing team in Manila. In this role, you will be the backbone of our revenue cycle operations, ensuring the accuracy of medical billing, identifying root causes for claim denials, and managing collections to optimize financial outcomes.
We provide a collaborative work environment, industry-leading training, and a clear path for professional growth. If you are passionate about healthcare finance and possess excellent analytical skills, we invite you to apply and contribute to our mission of helping people live healthier lives.
Tanggung Jawab
- Manage end-to-end Accounts Receivable (AR) processes for healthcare claims.
- Analyze and investigate claim denials to determine appropriate corrective actions.
- Contact insurance providers to follow up on outstanding claims and resolve billing discrepancies.
- Maintain accurate patient records and billing data in compliance with HIPAA regulations.
- Communicate effectively with internal stakeholders and external clients regarding account status.
- Perform timely posting of payments and adjustments to ensure ledger accuracy.
- Consistently meet or exceed production and quality performance metrics.
Kualifikasi
- At least 1-2 years of experience in Healthcare BPO, specifically in AR/Medical Billing or Claims processing.
- Strong understanding of US healthcare billing codes (CPT, ICD-10, HCPCS).
- Proficiency in navigating Electronic Health Record (EHR) and Practice Management systems.
- Excellent verbal and written communication skills in English.
- High level of accuracy, attention to detail, and analytical thinking.
- Ability to thrive in a fast-paced environment and meet strict deadlines.
- Must be willing to work in Manila City on a full-time basis.