Deskripsi Pekerjaan
Join Optum as a Healthcare Collections Claim Specialist and be part of our dynamic Revenue Cycle Management (RCM) team. In this provider-side role, you will oversee the complete lifecycle of healthcare claims, from contract management to resolution. Your primary focus will be on managing unpaid claims, handling denials, and performing AR collections to ensure optimal reimbursement for our healthcare providers.
You will be responsible for billing reconciliation and contract management, ensuring accuracy and compliance in all transactions. This role requires strong attention to detail and excellent communication skills to liaise with providers, payers, and internal teams. If you are passionate about healthcare finance and want to make an impact in the billing process, this is the perfect opportunity for you.
At Optum, we are committed to delivering innovative healthcare solutions. As a Claim Specialist, you will work in a fast-paced environment in Metro Manila, contributing to our mission of improving lives through better healthcare outcomes. We offer competitive compensation and growth opportunities.
Tanggung Jawab
- Manage end-to-end claims process, including submission, follow-up, and resolution.
- Handle unpaid claims and denials with effective resolution strategies.
- Perform AR collections to ensure timely reimbursement.
- Conduct billing reconciliation and contract management.
- Collaborate with providers and payers to resolve billing discrepancies.
- Maintain accurate records and compliance with healthcare regulations.
Kualifikasi
- Bachelor's degree in Healthcare Administration, Finance, or related field.
- 2+ years of experience in healthcare billing, collections, or RCM.
- Familiarity with claims processing and denial management.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal abilities.
- Proficient in Microsoft Excel and healthcare billing software.