Deskripsi Pekerjaan
Join Optum, a leading healthcare services company, as an AR Follow-Up/Medical Claims Collections Representative. In this crucial role, you'll be at the forefront of ensuring healthcare providers receive proper reimbursement for services rendered. You'll work directly with US healthcare providers to resolve billing discrepancies, manage unpaid claims, and navigate complex insurance contracts.
This position offers a unique opportunity to develop deep expertise in medical billing and revenue cycle management while making a tangible impact on healthcare operations. You'll collaborate with cross-functional teams to identify process improvements and implement strategies to enhance collections efficiency.
As part of our dynamic team, you'll gain exposure to cutting-edge healthcare technology and industry best practices. This role is perfect for detail-oriented individuals with strong analytical skills who thrive in a fast-paced, results-oriented environment. If you're passionate about healthcare administration and want to contribute to improving the financial health of medical providers, this position offers excellent growth opportunities within one of the industry's most respected organizations.
Tanggung Jawab
- Manage and resolve outstanding accounts receivable for US healthcare providers
- Investigate and follow up on unpaid claims and denials from insurance companies
- Analyze billing discrepancies and ensure accurate claim submission
- Communicate effectively with healthcare providers to resolve payment issues
- Review and interpret complex insurance contracts to verify coverage and reimbursement rates
- Document all collection activities and maintain detailed records in the system
- Identify trends in claim denials and recommend process improvements
- Collaborate with billing and coding teams to ensure accurate claim submission
Kualifikasi
- Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience)
- 1-2 years of experience in medical billing, accounts receivable, or healthcare collections
- Familiarity with US healthcare insurance systems and claim processes
- Strong analytical skills with attention to detail
- Excellent communication and interpersonal skills
- Ability to work independently and manage multiple priorities
- Proficiency in Microsoft Office Suite and healthcare billing systems
- Knowledge of medical terminology and CPT/ICD-10 coding preferred